The Care Quality Commission, the NHS and care regulator in England, highlighted several examples of care and nursing homes where its inspectors found particularly poor care. It rated them all as providing “inadequate” care.
Highcroft Manor in Northamptonshire
A two-day unannounced inspection by inspectors in March led to the watchdog placing the home, which mainly looked after older people who had dementia, in special measures.
They found a “systematic failure in all areas of assessment and monitoring of people’s care, resulting in risks to people’s health and wellbeing”.
Residents were monitored too little given their health needs, and nurses did not always act promptly when a resident developed abnormal clinical symptoms. Staff did not give people their medication on time, manage their wounds properly or always help them eat and drink.
“People were at risk of infections as the home was not clean. People’s rooms, bedding and flooring were visibly dirty,” the CQC found.
“Staff were not always kind. People did not always have the ability to call for assistance and staff had little time to talk or support people with activities or socialising. Care … did not always respect their dignity.”
The home’s owners have been given six months to instigate major improvements or risk having their registration with the CQC cancelled.
Crawfords Walk in Chester
In June the CQC was scathing in its criticism of Bupa, which runs the Crawfords Walk nursing home, after a Channel 4 Dispatches documentary exposed series of failings at the facility.
Andrea Sutcliffe, the CQC chief inspector of adult social care, was appalled at “shocking evidence” of understaffing, bad practice and poor care.
“The examples of poor care and a culture of inappropriate, institutionalised practice highlightd by this programme are wholly unacceptable,” she said.
“Bupa has betrayed the very people it is paid to look after.”
Inspectors found that people were forced to wait to go to the toilet and that as a result some had soiled themselves. Some residents had still not had their breakfast by 11am.
Staff got some residents out of bed to be washed and changed as early as 5.15am, so that it was “easier” for staff to look after them. Some were then put back to bed. One nurse told Dispatches how she had to get people up at 3.30am to give them bed baths.
Incontinence pads were rationed in the home and some soiled ones reused. A care assistant was filmed shouting at a resident who had filled her incontinence pad, telling her that “you’re full of crap again” and “you’re so naughty”.
Meadowbrook Care Home in Shropshire
Inspectors found ants crawling over one of its dining tables and a soiled mattress.
They observed staff not helping a resident who was struggling to eat, even though food was spilling into their lap.
One resident told inspectors that they sometimes had to wait for an hour before staff responded to their calls for help.
Aamina Homecare in Lincolnshire
The CQC rated it as “inadequate” in April, though a previous inspection in April 2015 had found it to be “good”.
Residents assessed as needing 30 or 45 minutes of support received help for as little as six minutes.
Staff administered medicines unsafely and at the wrong times. One person who should have had drugs every four hours instead received them all at once.
One person had 19 different carers in a month, which exposed them to neglect. Another resident who needed two staff to support them from bed with personal care and getting dressed went without any help at all for two days.