An £8 million care home opened by All Saints Care in Bradford last year has been put into special measures by the Care Quality Commission.
Inspectors made unannounced visits in mid-February and mid-March this year, just six months after it was registered with the CQC, and reported 12 breaches of regulations.
Gateway Care Home, which can accommodate up to 92 residents, offers residential, nursing and dementia care .
The modern home offers single en-suite bedrooms over three floors, each with their own dining room, long areas and bathrooms.
Inspectors found that the home did not have a registered manager, which is likely to have been the root of other staff problems.
“Staff had an understanding of safeguarding and told us about events in the home which they understood should be reported. However we found safeguarding incidents had not been referred to the local authority safeguarding team. Risks to people were not well managed which meant people were at risk of harm and poor standards of care,” the CQC reported.
Other breaches identified by the CQC included:
- Medicines were not managed safely and some people had not received their medicines as prescribed.
- There was a lack of appropriate personal protective equipment such as gloves and aprons for staff to maintain effective infection control procedures. Staff hand washing facilities were not in place as required.
- Staffing levels often fell short of those the provider’s representative had told us were in place and were often insufficient to meet the needs of the people living at the home. Staff had not received the training and support they needed to fulfil their roles. Staff recruitment processes were safe but staff turnover levels were very high.
- The legal framework relating to the Mental Capacity Act 2015 (MCA) and Deprivation of Liberty Safeguards (DoLS) was not understood by all staff and was not being followed, although some applications had been made for DoLS authorisations these were not being prioritised based on need or risk.
- Food at the home was good and choice was available. However people were losing weight and were not receiving the diet and fluids they needed to maintain their health.
- People said staff were good and we witnessed some caring interventions. However, we found some practices undermined people’s privacy and dignity and showed a lack of respect.
- Care records were not sufficient to make sure people’s needs were met. Care was not planned or delivered with a person centred approach.
- Some activities were provided but were not research based to make sure they were appropriate. Some activities involved using toys designed for very young children which could be demeaning to people living at the home.
- We found management systems were not robust.
Gateway’s residential manager Chris White told local newspaper Telegraph and Argus that he acknowledged the content of the latest CQC report and is working closely with them and the local authority to address the areas for improvement. A new management team is being put in place, he added.