Shaw healthcare’s Deerswood Lodge in Crawley has been rated Requires Improvement by the CQC.
The inspection of the home in July was prompted in part by a resident’s death, which is still under investigation.
“The incident is subject to an investigation and as a result this inspection did not examine the circumstances of the incident,” the CQC said.
“However, the information shared with CQC about the death and the incident prior to it, indicated potential concerns about the management of risk in relation to falls. This inspection examined those risks.”
Inspectors found the home had taken a number of measures to minimise fall risks, including assessing people’s needs prior to admission, implementing admission risk assessments and associated care plans identifying hazards and risks to people’s safety, as well as taking measures to minimise risks.
“The registered manager had learned from a serious incident and had ensured that senior staff received training in recognising deteriorating conditions,” the CQC said.
“They had also introduced measures to ensure that people were sufficiently monitored if they had been involved in an accident, such as a fall.”
A 72-hour post-fall monitoring form had been introduced which staff were required to complete to monitor any changes in a resident’s health. Omissions were found in the completion of one form, however, with observations only documented for 13 hours following a fall.
Liam Scanlon, Director of Compliance and Governance for Shaw healthcare, said: “We have an ongoing improvement plan that we are committed to delivering and have shared with the CQC.
“The plan’s success is reliant on recruiting and retaining skilled employees in the area. We are working closely with our partners, West Sussex County Council, to ensure we address this requirement to achieve the best possible standard of care for our residents.”