A Blackpool care home has hit back at an inspection report which found flaws in its safety and leadership.
Feng Shui House Care Home in Blackpool was visited by inspectors from the Care Quality Commission in October, who gave it an overall rating of ‘Requires Improvement’, and said it was not always safe or well led.
The unannounced visit took place at the residential care home which provides personal care to people of 65 and over, and is registered to support up to 20 people, with one person living at the home at the time of the inspection, according to the report.
The latest inspection, which comes after a previous one in May this year when the home was rated as inadequate, has found some improvements which means it is no longer in special measures.
However, the owner of Feng Shui House Care Home has hit back at the report for ‘inaccuracies’ and says she is planning to contest it.
Yet inspectors found flaws in safety procedures, which homed in on weaknesses in infection prevention and control, including the use of PPE, as there had not been enough improvements.
They said: “The service was not always safe. We observed staff not following good practice guidance around infection prevention and control including the use of Personal Protective Equipment.”
They added: “At our last inspection, we found people who used the service were placed at risk because the provider did not always follow best practice when preventing the spread of infection.”
The inspection report added: “Although improvements in the environment were evident, not enough improvement had been made at this inspection.”
Fire safety was also highlighted by the report, which said Lancashire Fire and Rescue Service had been alerted.
They said: “Fire safety was not adequately risk assessed and planned for. On the day of the inspection, we found several fire doors did not close adequately to delay the spread of a fire.”
Similarly, records were not always up to standard, according to the inspectors, who said: “The service was not always well led. Records relating to care and the management of the service were either incomplete, inaccurate, and/or not kept up to date.”
There had been no impact on people, said the report, but this could have compromised quality and safety of service.
Also highlighted were shortfalls in systems for assessing, monitoring and improving service.
The report said: “We found shortfalls in the oversight by the provider. Systems to assess, monitor and improve the service had not always been implemented and operated effectively.”
However, levels of care, effectiveness and responsiveness at the care home were found to be good in this inspection.
Inspectors found many positive points, including an adequate supply of PPE, clean and tidy premises, people being supported in the least restrictive way possible and policies and systems supporting this.
Also praised were the fact that initial assessments and care plans were being used to support people, policies and procedures in line with regulations and laws were being followed and staff were working with other agencies to provide a good standard of care.
Similarly, staff training and recruitment were good, and people’s nutritional needs were being considered. Communal areas were comfortable, the home was well equipped, and levels of care were good while service levels were flexible, responsive and positive. People received ‘personalized care’ and care records were written in a person-centered way, with people being encouraged to maintain contact with friends and family.
The report said: “We observed people were relaxed and comfortable in the service.”
It added: “People were treated with respect, compassion and kindness; they were given emotional support when needed.”
A ‘positive culture’ was observed, with inspectors finding that staff knew people well and that staff and management meetings which took place regularly were ‘open forums for information to be shared’, with staff feeling ‘supported and valued by the management team.’
Inspectors said: “Good relationships had been developed between staff and people who used the service and their family members.”
Following on from the report, the CQC has requested that the care home send a report outlining what action it is going to take over flaws in risk assessing, preventing and controlling the spread of infection.
The regulator has said that although the home is no longer in special measures, it will work alongside the provider and local authority to monitor progress.
They plan a return visit according to their reinspection programme, although they warn that they could return sooner if any concerning information is received.
Kate Blyth, owner of the care home, said that the Care Quality Commission should not have published the report as it was in the draft stage and contained factual inaccuracies.
She said: “The Care Quality Commission should not have published that report. The fire brigade has been in here and they have no issue with this care home – everything is in place.
“The factual accuracy of that report is inaccurate. It is a draft report and should not have got published. I have been a care provider for 25 years and the CQC come in and do the report as what they see on the day.
“I am contesting it. The fire brigade has said that they do not have any issues.”
However, a spokesperson for the Care Quality Commission said that while there was an opportunity for providers to challenge draft reports, that period had expired and the report that had been published was the final report.
The CQC spokesperson added: “Following a CQC inspection we send a draft copy of the report to the provider and give them the opportunity to come back to us within a set time period with any factual accuracy comments which we review and consider. Following this process there were no changes made to the draft report for Feng Shui House Care home in Blackpool and the final report has been published on our website.”
Lancashire Fire and Rescue Service was contacted for comment.