What the CQC found at Lady Forester Residential & Day Care Centre

The home had addressed the fire safety, hot water, food storage and Legionella concerns found at the previous inspection. Equipment was serviced and safety checks were being completed.

“At this inspection, we found the provider had addressed the environmental safety concerns we had identified, and we were assured people were no longer at risk from these issues.” from the report

People and relatives said there were enough staff and that support was not rushed. The required employment checks and DBS checks were completed before new staff started.

“People and their relatives told us they were supported safely by enough staff. Staff were not rushed, and people did not have to wait for support.” from the report

Inspectors were assured that the home used protective equipment safely, supported people to reduce infection risks and had an up-to-date infection control policy.

“We were assured that the provider was using PPE effectively and safely.” from the report

People said they felt safe living at the home and with the staff supporting them. Staff had training to recognise and respond to abuse.

“People were protected from the risk of abuse and told us they felt safe living at the home and with the staff who supported them.” from the report

The provider had increased its presence and introduced new responsibilities, meetings and quality checks. Staff said communication had improved and they felt more able to raise concerns.

“The provider had increased their oversight of the home and of management through observations, regular meetings with the registered manager and completion of their own quality checks.” from the report

The provider's audits and checks did not consistently identify shortfalls in care records or medicines records. This was a continued breach of Regulation 17.

“The providers quality assurance systems and processes were not consistently effective and further embedding was needed to ensure best practice and regulations were met.” from the report

Two medicines were incorrectly recorded as homely medicines. No harm was found and the provider corrected this after the inspection, but its own procedures had not been followed.

“We identified 2 instances where medicines had been incorrectly recorded as a homely medicine.” from the report

Care plans had improved, but an audit did not identify that staff had failed to record interventions as required for one person's health condition. Inspectors found no impact on that person.

“We found some staff did not record their interventions in line with 1 person's care plan, when test results from their specific health condition were outside of their normal range.” from the report

Required checks had been completed, but staff identity information was not always clearly recorded or validated.

“Staff identity checks had been completed but this information was not always clearly recorded.” from the report