11 July 2023
During an inspection looking at part of the service
Strathmore Nursing Home is a care home providing personal care to older people and people living with dementia. The service accommodates 32 people in one adapted building, over 3 floors. At the time of the inspection 28 people were using the service.
People’s experience of using this service and what we found
Systems for managing medicines were not always safe. Systems in place to monitor the running of the service were not always followed in a timely manner. Environmental risks were not always identified and mitigated effectively.
People’s personal information was not always stored securely. Systems for ensuring staff competencies were not always in place. We made recommendations about management of staff and protecting people’s personal information.
Staff were trained to recognise potential risks and signs of abuse. Risks to people's safety and wellbeing were assessed and reviewed by managers. Staff used personal protective equipment (PPE) appropriately when supporting people.
The provider had procedures in place to receive feedback on how to improve support. Lessons were learned when concerns were raised, and these outcomes were communicated to staff. Staff worked well in partnership with other agencies to deliver effective support.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 7 January 2020).
Why we inspected
We received concerns in relation to the management of medicines and staff competencies. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of the full report. The provider has taken action to mitigate the risks identified.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Strathmore Nursing Home on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to managing medicines safely, environmental risk management, and the good governance of the service at this inspection.
We have made recommendations about improvements in monitoring of staff and the storage of personal data.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.