A Prescot care home where consent is “not properly understood” has been told to improve for the third time in a row.
The comments were made in an inspection report published last week following a Care Quality Commission (CQC) inspection carried out in March at Griffin House Care Home in Prescot, which provides nursing and personal care for up to 26 residents with dementia.
Inspectors said that the home, which was previously rated as requiring improvement at its last two inspections, remained in breach of key regulations because of the way it deals with the issue of consent for vulnerable residents.
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The inspection found several aspects of the home to be identified as “good” particularly in the areas of being safe, caring and responsive with positive comments from residents and family members about the care received.
The report also noted that progress had been made around several other Care Act breaches previously identified, which meant in those areas the home was no longer in breach.
However, inspectors said the way in which the home assessed the capacity of residents to make decisions created a “confusing and tiring” process for the residents, many of whom experience dementia.
The report stated that mental capacity inspections did not comply with the code of practice of Mental Capacity Act legislation.
Staff were conducting multiple capacity assessments on the same day at the same time, which inspectors said was “not good practice.”
The inspection report stated: “It would have been a confusing and tiring process for people living with dementia or other mental health conditions to participate in, which may in turn may have impacted on their ability and motivation to respond”
Other concerns related to ‘do not resuscitate’ and deprivation of liberty safeguards that had been put in place with “no evidence” the person could consent or that it was in their “best interests”.
The inspection said that linked to this breach, issues around leadership were identified, stating that key legislation was “not properly understood.”
Responding to the report, a spokesperson for Griffin House Care Home said: “We continue to prioritise the safety and care of our residents.
“We have implemented the changes recommended by CQC and will continue to work with them to make improvements.”
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