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– the service is performing badly and we've taken enforcement action against the provider of the service. There was an open and positive culture at the service which focussed on people. Staff told us, “The manager and senior nurse are approachable; we can talk to them any time and discuss any concerns”. People and their relatives told us they were satisfied with the care, the staff had a good knowledge of their needs and met these in a way that suited them. Another person told us, “The staff know me well and understand me well”. Two relatives said, “The staff know my mum well and what she likes, they know how to get the best of her” and, “The staff are well trained”.
During this inspection we found one breach of the Health and Social Care Act Regulations. The provider had displayed the ratings from the last inspection, in February 2018, in a prominent place so that people and their visitors were able to see them. At the last inspection, we found the support of people’s rights within the basic principles of the Mental Capacity Act 2005 needed to be improved.
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There were 16 people living in the home on the days of our inspection. The Hollies Residential Home The Hollies, Darnley Road, Gravesend, DA11 0SE ★★★☆ The Hollies Residential Home is a large care home located in Gravesend, with capacity to house fourty residents. The Hollies Residential Home cares for elderly The Care Quality Commission has monitored The Hollies Residential Home since January 2011. Benham Lodge 42 Pelham Road, Gravesend, DA11 0HZ ★★★☆ Benham Lodge is a small care home in Gravesend housing a maximum of nine individuals. The residency cares for and supports adults of all ages including people with learning disabilities.
We have asked the provider to tell us what improvements they will make in relation to ensuring that there are sufficient numbers of suitably qualified, skilled and experienced staff. At this inspection, we found that sufficient improvement had not been made to the assessment used to determine the numbers of staff required to provide the level of care people needed. Staff did have the opportunity to meet with their line manager on a regular basis to discuss work related issues. At our last inspection, on 20 and 21 February 2018, the service was rated as ‘requires improvement’.
Dale Lodge
The awards organisers said each home listed was rated ‘inadequate’ by the Care Quality Commission, and careful consideration had been given of the poor track records of the nominated homes. A care home with a pest problem and elderly people who feel isolated has been told it must improve. The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.
They wrote to us on 18 December 2013 and stated that all records apart from staff files were kept in the nurse's office. However, during our inspection of 22 April 2014 we found that a number of records could not be located promptly as the provider unavailable. Staff had a safeguarding procedure to access the information they needed to protect people and raise concerns. A copy of the local authority procedure with their full guidance for reporting concerns was kept in the home, however, it was an old copy with the wrong information available. The provider had not displayed the ratings of the previous inspection in a prominent place as required by the regulations. New staff had not had the appropriate checks made of their suitability to care for and support the people living in the home.
Reviews
The care home caters for younger and elderly adults with sensory impairment. The nursing home also cares for residents with dementia and mental health conditions. The provider and registered manager sent action plans dated 27 April 2018 stating they had already made the improvements to make sure regulations 12 and 19 were met. At this inspection, the provider and registered manager had made improvements in most areas. People’s prescribed medicines were now being managed and administered safely.
Kent County Council work closely with the Primary Care Trust, which runs the hospital and day centre, and which supplies n... Orchard Cottage 78 Old Road East, Gravesend, DA12 1PE ★★★☆ Orchard Cottage is a small care residence situated in Gravesend housing a maximum of ten individuals. The care home caters for elderly The Care Quality Commission has monitored the residency since January 2011. In April 2017, the CQC rewarded Orchard Cottage with an overall rating of good.
People’s health needs were generally taken care of by the registered nurses working in the home and GP practices. Health referrals had been made, however not always suitably quickly and not always pursued and followed up. Where people required a special diet or consistency of food this was documented and appropriate advice and guidance had been sought. The provider had now displayed the ratings from the last inspection in July 2017 in a prominent place so that people and their visitors were able to see them. People and their relatives gave positive feedback about the kind and caring nature of the staff team. Staff knew people well and a friendly and more relaxed atmosphere was evident.
They wrote to us on 18 December 2013 and stated that all records apart from staff files were kept in the nurse’s office. We carried out this inspection to follow up on concerns identified during our inspection of 01 October 2013. We found that some steps had been taken to address the concerns which had been raised. However, we identified a number of ongoing concerns such as the security of the premises.
People and relatives told us they didn’t feel there was enough staff deployed to meet their needs. Staffing levels had not been increased despite a recorded increase in dependency levels. Relatives also told us they thought their relatives were safe and care was provided appropriately. Although the manager had been in post since August 2018, they had not applied to register with the Care Quality Commission. It is the provider’s legal responsibility to ensure a registered manager is in post.
The manager said the home was looking to recruit an activities coordinator, but nothing had been put in place. At other times we offer an answer phone service so please leave a message and we'll call you back. There is chicken casserole and mash, or cheese omelette and chips today”.
The provider sent us a report of the actions they were taking to comply with Regulations 9, 11 and 16 and they told us they would be meeting these Regulations by 28 February 2017. They also said they would meet Regulation 18 of the Care Quality Commission Regulations 2009 by 28 February 2017. One person said, 'We wait too long in the dining room' This meant that the registered person was not respecting people's dignity. People received their prescribed medicines by registered nurses. The medicines administration process was managed well, including the ordering, storage and return of medicines in the home.
Referrals to appropriate health care professionals was now better evidenced. A consistent approach was not taken when monitoring the blood sugar of people with diabetes. An assessment tool used to monitor the risk of malnutrition was erroneously scored, showing a score that was not correct. Staff knew their responsibilities in keeping people safe from abuse. The provider and manager had worked with the local safeguarding teams when concerns had been raised. People’s privacy and dignity was not always respected at the last inspection.
If you're looking for an individual, or want to find anyone that you might have lost touch with, try our people search. On 27 January 2014 we served a fixed penalty notice to Ashley Down Nursing Home Limited for failing to have a registered manager in place at Ashley Down Nursing Home. During our inspection we found a number breaches of the Health and Social Care Act Regulations 2014. Full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.
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