AN inspector had to intervene at a care home “to keep people safe” when one person assaulted another, a report has revealed.
The Care Quality Commission (CQC) inspected Regency Court, in Thwaites Village, Keighley, across four dates in July and August.
The home is rated ‘inadequate’ overall and is in special measures.
A report from the CQC reveals a worrying catalogue of issues at the home.
It says: “During the inspection an incident occurred where one person assaulted another person.
“No staff were present and the inspector had to intervene to keep people safe.
“On a different day another person left the service unbeknown to staff and fell outside sustaining a serious injury.
“Although action was taken after both these incidents to ensure people's safety, systems had not been in place to manage these risks and keep people safe.”
The report says staff used “unsafe” moving and handling practices which placed people at “risk of harm and injury”.
Records also showed people had sustained unexplained bruising and skin tears which had not been investigated or referred to the local authority safeguarding team.
“Lessons learned were not always implemented,” says the report.
“One person who had repeated unwitnessed falls was to be checked every one to two hours. We observed these checks were not taking place."
It adds: “We saw one person was wearing slippers when walking with staff.
“Their care plan stated they needed to wear shoes not slippers, as they dragged their feet in slippers increasing the risk of falling.”
The report also says people were not always treated with kindness, compassion and respect by staff.
“Some staff were kind and caring, however others interacted very little with people,” it says.
The report says “significant shortfalls” were found, with concerns similar to those at previous inspections.
“There were continued breaches in relation to safe care and treatment, staffing, recruitment, person-centred care and dignity and respect and a new breach in relation to safeguarding,” says the report.
“These issues had not been identified or addressed through the provider's own governance systems.”
A spokesperson for ADA Care Limited, who did not wish to provide his name, said: “We are working with a new manager in the home and the local Council and the CQC to improve the service.
“A lot of actions from the report are already embedded in the service and there are monthly reviews with the authorities to improve things.”
He said the home has improved “significantly” with a committed new staff team and manager.
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