Threen House Nursing Home in Mattock Lane, Ealing, was rated 'inadequate' overall and for providing care that was not safe and well-led following an inspection in August 2017.
It was rated 'requires improvement' for being effective and caring and 'good' for being responsive.
The care home is registered to provide nursing and personal care for up to 26 older people, some of whom are living with dementia. At the time of this inspection, 12 people were using the service.
The provider, Mr Alan Hannon, has a history of not meeting regulations. CQC has inspected the service seven times since July 2015. It has issued warning notices following inspections in July 2015, July 2016, February 2017 and August 2017.
Following the February 2017 inspection, a condition was imposed on the registration that Threen House not to admit new residents without the prior written agreement of CQC. In addition there is no registered manager at the service.
During the inspection in August, inspectors found that recruitment checks on staff that were employed at the home were not carried out appropriately to make sure they were suitable to work with people using the service. They had also not received the training they needed to care for and support people using the service. This may have placed people at risk of unsafe or inappropriate care.
The processes in place to manage and mitigate risks relating to the environment of the care home were not adequate to keep people safe. Some parts of the premises were in need of redecoration or refurbishment which meant that people did not live in as pleasant an environment as possible.
When people needed care and support to help maintain their privacy and dignity this was not always provided in a timely manner and some of the practices inspectors observed did not ensure that people’s privacy was respected.
There were inadequate systems in the home to assess and monitor the safety and quality of the service people received to help make improvements. The provider had also not taken sufficient action to make the improvements the CQC had asked them to make at previous inspections.
Debbie Ivanova, CQC’s deputy chief inspector of adult social care, says: “It is a matter of concern that Threen House Nursing Home is continuing to fail the people in its care. The care home has been in decline over a number of years.
"The findings at our latest inspection show that the owner and staff have not taken the necessary action to make improvements to the service and to the care people received. People using services have a right to receive care which is safe and meets their needs. This is not the case at Threen House.
“CQC are now taking enforcement action against the provider. This is currently subject to legal proceedings and CQC will report on these when able to.
“Any regulatory decision that CQC takes is open to challenge by a registered person through a variety of internal and external appeal processes.”
