A Hucknall care home which cares for adults with learning disabilities and mental health conditions has been rated ‘inadequate’.
The Orchard Care Home in Papplewick Lane, Hucknall, has been placed in special measures after an inspection by the Care Quality Commission (CQC).
An unannounced inspection was carried out from June 13 to June 21.
The home is a residential care home providing personal nursing care to five at the time of the inspection.
The service was previously rated ‘requires improvement’ in April 2022.
It has now been rated ‘inadequate’ in three areas: safe, effective and well-led.
Inspectors found there had been “a lot of changes in management” since the last inspection.
The current manager had been in the role for six months but they were still not fully aware of their roles and responsibilities, according to the report.
The report said: “At our last inspection, we recommended that the provider reviewed the culture and routines within the home to ensure they were supporting people in line with current guidance.
“At this inspection, we found they had not made improvements.
“We will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within six months to check for significant improvements.”
Inspectors found “significant concerns” around the monitoring and management of water systems including checks for legionnaires (a serious water-based disease).
Water temperature checks were not carried out on showers and these were found to be over the recommended safe temperature placing people at risk of scalds.
Inspectors said people were supported by an adequate level of staffing on each shift to meet their needs.
However, the report said staff on nights had not been given the appropriate training to fulfil their roles and therefore there was “no evidence they had the skills to keep people safe”.
There were examples of incidents that had occurred with no evidence they had been logged, investigated, reported to the relevant bodies or any lessons learned or shared.
However, people and their relatives felt staff kept them safe and staff told inspectors they felt supported and had received a good induction.
The care provider at the home said they did not wish to comment.
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