A CARE home is under threat of being stripped of its registration by a health watchdog after inspectors found a vulnerable resident had been burned, others had suffered injuries and staff had “not recognised signs of abuse”.
Inspectors from the Care Quality Commission made two safeguarding referrals to the local authority during their unannounced “targeted” visit to Rother Valley View, having previously issued the home with a warning notice last August.
On the visit in March this year, staff admitted they did not feel able to “fulfil all their duties to a good or safe standard” and also told inspectors — who discovered “multiple unclean areas” including “dirty bathrooms” and “soiled bedding” — “People’s care needs come before cleaning, so we leave the cleaning”.
Infection control systems were not followed, with staff failing to check visitors’ Covid-19 test results before they entered the home on either of the two days of the CQC visit.
The residential care home on Worksop Road provides support to adults with a learning disability and autistic people, and had four residents at the time of the inspection.
The CQC rated it inadequate overall once again, after giving it that ranking in the safe, effective and well-led areas.
Inspectors visited to investigate “specific concerns” received about safety and management and to follow up the previous inspection.
The report said: “People were not always safe from abuse.
“Systems and processes to protect people from the risk of abuse were not operating effectively.
“When incidents of allegations of abuse were known, they had not been reported to the local authority safeguarding team or CQC.”
One person had “sustained a burn to their arm which required medical attention and dressing”, the inspectors said, adding: “Staff told us this was from the radiator in their room which was not covered.”
The radiator had later been turned off, but “further risk had not been adequately reduced leaving the potential for further harm”.
Incidents including “unaccounted for bruises, and self-injurious behaviours” had not been recorded or reported by staff, resulting in a lack of external scrutiny or investigation.
While staff had training on how to recognise and report abuse, they did not always follow the provider’s safeguarding procedure.
Another person with epilepsy was regularly bathing without help, with the risk not “considered, assessed or reduced” by the care home.
Issues covered by the CQC’s two referrals during the inspection had not been previously identified or raised by managers or staff.
The watchdog said the home’s managers had given assurances abuse allegations would be reported.
Inspectors also found food debris and spillages, and that people’s flats “were not being kept clean and hygienic”.
Staff told the CQC they did not always have the time to carry out deep cleans, but the home has now hired a cleaning company.
The manager was aware of a health and safety issue but had “failed to ensure future risks were mitigated”, and staff told inspectors their performance “was not managed well”.
Several said they did not feel able to “fulfil all their duties to a good or safe standard”.
But the inspectors noted improvements had been made in medicine use and recruitment, meaning the home was no longer in breach of the relevant regulations, and noted the “environment was decorated in a pleasant way”.
The CQC said it would keep the home under review and either cancel its registration or carry out another inspection in six months.
Rother Valley View’s operator Cristal Care did not respond to a request for comment.