What the CQC found at South Collingham Hall

Inspectors found that medicines were administered safely, records were appropriate and medicines were stored securely at the correct temperature.

“People were provided with safe care in relation to the administration of their medicines.” from the report

Many people described most staff as kind and caring, although the report also records some less positive experiences.

“The majority of people told us most staff were kind and caring” from the report

People were supported to access health professionals, and staff acted when they were concerned about a person's health.

“People were supported to access health professionals when they needed them.” from the report

People said they liked the food and that their preferences were catered for. The cook also knew about people's dietary needs.

“People also told us they thought the food at the service was good and their preferences were catered for.” from the report

Risk controls were not always followed. For example, a pressure-relieving mattress was not switched on, and walking aids were not always kept with people.

“This meant the person was not protected from the risk of developing pressure ulcers, as the identified measures to reduce the risks were not followed by staff.” from the report

Inspectors found dirty equipment, poor repairs, unsafe features and gaps in infection control practice. Some staff did not use the required protective equipment when handling hazardous waste.

“People were not always protected from the risks of infection as some areas of the building and some equipment was not free from dirt and debris” from the report

Staffing levels did not always match people's needs, and short-notice sickness was not always covered. One newer staff member had not completed several important areas of training.

“The staff rosters we viewed showed that there were some days when sickness had not been covered.” from the report

Some people did not receive the diet recorded in their care plan. Food and fluid records were incomplete or did not contain enough detail to show that people's needs were being monitored.

“People were not always supported with their nutritional needs.” from the report

People were sometimes left waiting in wheelchairs, and one person was left with a hoist sling in place while sitting in a chair. Inspectors also found too little activity for people who stayed in their rooms.

“People's dignity was not always maintained, we saw one person who had been left with a hoist sling in place while they sat in their chair.” from the report

Quality checks did not identify problems that inspectors found. There was also poor recording of handovers, meetings, complaints and some legal notifications.

“There was a lack of leadership and over sight at the service and the quality monitoring systems did not highlight when there were concerns or issues about people's care or the environment they lived in.” from the report