Continued 'inadequate' rating for South Wiltshire care home

old person in wheelchair

Published by Spire FM News at 5:47am 11th February 2019. (Updated at 5:48am 11th February 2019)

Glenside Manor Healthcare Services has closed it's Pembroke Lodge site following the results of a second inspection.

Pembroke Lodge is part of a wider complex run by the company in South Newton. It can house up to 16 patients.

It was first inspected last November by the Care Quality Commission (CQC) and received an overall rating of 'inadequate', inspectors visited again at the end of January to see if improvements had been made but it's received exactly the same results.

Because of that, Glenside's taken the decision to close Pembroke Lodge and has transferred patients to alternative accommodation on the site whilst "a more comprehensive action plan was devised and implemented."

In a statement to Spire FM Glenside also said it "acknowledges that the findings in the report together with feedback from the inspection team and other commissioning partners has identified a number of causes for concern."

One of the big issues highlighted by the Commission was the insufficient staffing levels and language barriers with agency staff. 

Concerns about staff being unable to speak basic English were initially raised by a whistleblower. 

Pembroke Lodge Service

The report also revealed recruitment procedures did not ensure the staff employed at the home were suitable to work with vulnerable adults.

In a statement Glenside writes:

"Glenside has reviewed its establishment plan together with staffing levels across all services and are beginning an exercise to identify skills mixes and competencies to ensure these are adequately distributed across all units and homes. The staffing levels at Pembroke Lodge did conform to the requirements.

Glenside has been addressing language barriers for some time by providing English classes and undertaking supervised practice.

It is evident that these standards have not been upheld at Pembroke Lodge which contributed to its self-imposed closure."

The CQC also noted that the systems used to manage medicines weren't good enough and that staff didn't know enough about people's individual risks.

In response, Glenside has appointed a new Clinical Pharmacist to support teams across the site in prescribing and medication management.

Francisco Alvarez has taken on that role - he was named Public Health Pharmacist of the Year 2016 and Community Pharmacist Lead for the Isle of Wight Clinical Commissioning Group.

Following the inspections, the CQC also thought that people were at risk of abuse and that staff were not knowledgeable enough about safeguarding procedures.

To work on these issues, Glenside has appointed a Substantive Safeguarding Lead, Clare Whittenham who has an extensive nursing background.

There will also be a review of all safeguarding alerts and extra training.

Those aren't the only changes - Glenside's recently appointed Helen Forrest, formerly of Wiltshire Clinical Commissioning Group, as its Infection Prevention and Control Lead to work across the site in developing more robust and stringent infection prevention and control practices.

As improvements continue, Gerhard Florschutz, Director of Genside, told Spire FM:

"Our leaders are placing great emphasis on making these sustained improvements so that we can focus on providing the specialised care that people so desperately need. We remain adamant that the changes we have implemented to date are a clear indication of the hard work and dedication of our team.

"We will continue to work with the CQC and all partners to address the failures in our services."

The company's also appointed contractors to assess and carry out repairs following concerns raised by the inspection about its heating system, availability of hot water and general maintenance.

The CQC has placed the services in special measures until it sees improvements have been made.

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