Poor Risk Management and Safeguarding Issues Lead to CQC Registration Being Cancelled

The CQC has cancelled Viewpark Care Home’s registration following multiple breaches of the regulations, and ongoing and serious concerns in relation to the provision of safe care and treatment.

There were repeated breaches in relation to:

  • The Mental Capacity Act,
  • assessing and mitigating risks to people’s health and wellbeing,
  • the safe management of medicines,
  • safeguarding procedures,
  • supervision of staff,
  • consent,
  • deprivation of liberty safeguards,
  • good governance
  • and acting openly and transparently.

In addition:

  • Staff were not following the advice of a professional and were providing food
    and drinks of an incorrect consistency.
  • There were ongoing issues in relation to the safe management of medicines. Staff did not always monitor the temperatures that medicines were stored. When temperatures had been monitored, there was a lack of evidence to show the appropriate actions had been taken if temperatures had exceeded manufacturers
    recommendations. This meant there was a risk these medicines might not work as effectively.
  • The administration of medicines was not always accurately reflected on the medication administration records (MARs).
  • There were shortfalls in actions taken to ensure the safety of the premises.
  • The provider had not obtained a required safety check of the passenger lift.
  • There were no robust procedures in place to ensure staff employed were of suitable character.
  • Staff were not following the home’s financial procedures and people were at increased risk of financial abuse as a result.
  • There were missed opportunities for staff to engage with people and to set up activities.
  • People were not aware of having been given the opportunity to be involved in developing or reviewing their care plans, and there was no documentary evidence of such involvement.

There had been multiple whistleblowers to CQC, issues raised included:

  • concerns about the registered manager’s treatment of staff.
  • staff within the service had not always acted openly and transparently in relation to issues arising in the service.
  • The systems in place to monitor and improve the quality and safety of the service were not effective.

Debbie Westhead, CQC’s Deputy Chief Inspector for Adult Social Care said “The provider was given every chance to improve the service and provide high-quality consistent care. On serval occasions we found the home putting people at risk by not taking the advice from healthcare professionals. We also had serious concerns over the management and leadership of the service.

“Taking enforcement action of this nature is not something we take lightly, nevertheless the safe care and treatment of people using services is our highest priority and they deserve safe, effective high-quality care.”

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