# data[].attributes.body
There was significant problems, lack of consistent management of the service, which had result in poor outcome. Also poor recruitment on nursing as nursing delivered to resident was inadequate. Moreover care staff induction records not accurately reflecting the training completion.

# data[].attributes.body
During the past 2 years of numerous inspection it appears that St Theresa has not rapidly achieved the recommended standards that are set by health and social care standards.

The identification of breaching health and Social Care Act regulations prompt further action to be taken by the CQC.

The service was not well-led, the management of the service was inconsistence which resulted I poor outcome.

The lack of communication breakdown between the health professionals and management concerning the day to day of nursing care was not effective.

# data[].attributes.body
Ø  Required quality standards recommended by Care Quality Commissioner and Health and Social Care Act 2014

Ø  Professionals took a long time to bring the situation under control such as the special

Ø  Some of the residence has mental health illness and others suffered from dementia

Ø  There was no records on daily long regarding occurred accidents and no appropriate information on residence care plan.

Ø  Lack of communication and sharing information among care staff involving resident’s care needs

Ø  Abuse and negligence to vulnerable adult is a serious human rights violation that requires urgent action.

Ø  Above all, there is an indication of legal failings to deliver  significant service to meet the better needs of residence

Ø  Care staff was not given opportunity to complete the Common Induction Standard, which by law it has to be completed within 12 weeks of employment.

# data[].attributes.body
All care professional involved in St Teresa nursing home has failings to fulfil their duties to deliver excellent care, safe environment as well as emotional support to most vulnerable adults with glossy insufficient resources.  In overall the service providers is not capable to demonstrate confidence in their ability or willingness to take into account to meet the required standard imposed by Care Act 2014.

# data[].attributes.body
Health care professionals from Mental Health Capacity Act, The Deprivation of Liberty Safeguards (DoLS) should have been involved to ensure whether the service was complying with care principles.

The department of Tissue viability nurse should have worked alongside with care nurses of the service.

G.P from local practice also had duty to be carrying regular visit to the home.

# data[].attributes.body
As a registered care home and has the legal responsibility for meeting the required standards under Health and Social Act 2014. , There should be some certain aspects of accountability towards the care provided to its residents, as policies and procedures should be followed at all times.

However, as for St Theresa it broke all the policy and procedures in regard the Health and Social Care Act. The care home failed to recognise the risks that residents were facing.

The service providers failed to recognise and seek the views of the residents and the families including their care staff.

The overall culture within the service and changes in management reflected that   individuals and their family members lost confidence in the service as a whole.

St Theresa nursing home failed to follow medicines management.

Managerial Accountability

The  frequently un consistent leadership in the service lead to poor managerial practice, including nursing staff and shortage of care staff.

The organisation providers failed to enhance their centralised recruitment practice.

Care home could not conduct effectively and efficiently this reflected serious incompetence of a managerial duties.

During all mentioned inspection there have been breaches of regulation requirements

# data[].attributes.body
Ø  When CQC conducted unannounced inspection the findings were appealing. Elderly people’s safety were severe compromised.

Ø  Care recording were inconsistent and the treatment had not been rectified on care plan to give staff clear instruction to follow.

Ø  Concerns were raised about poor stuffing level and staff were not competent  to accurately document service users care needs  or raise concerns let alone knowing how and where to report incidents and accidents.

Ø  Residents were not receiving quality of care that reflected their individual’s care needs for example there was errors in medication management.

Ø  Care recording were inconsistent and the treatment had not been rectified on care plan to give staff clear instruction to follow.

Ø  Therefore, the above issues were present and true reflection of how St Theresa care was running the service.

# data[].attributes.body
Ø  Pressure areas care

Ø  In adequate nutritional needs

Ø  Short staffing levels

Ø  Management of medicines

Ø  General lack of confidence in the management of the service

.Significant themes

In overall there was serious risks to residents’ safety due to insufficient and inconsistent of failing to deliver appropriate treatment in relating pressure areas, falls and weight loss

# data[].attributes.headline
Brief description: Safeguard vulnerable adults

# data[].attributes.subject
Brief description: Safeguard vulnerable adults

# data[].attributes.body
St Theresa Nursing Home is a dual registered Elderly Mentally Infirm(EMI) residential and general nursing home. It is one of the 4 residential nursing home which is owned by Morleigh Group, a local family born in ST. Austell and have been in the business for over thirty years. The first care home was established in 1999 by the name Brake Manor. However, in this case study the focus will be on St Theresa nursing home that facilitates 45 elderly people.

# data[].attributes.body
On the 6th of August 2015 Care Quality Commissioner (CQC) carried out an anonymous comprehensive inspection. A 45 bedded nursing home, was only occupied by 24 residents on the day of the inspection. Prior to the inspection, there were concerns made in regarding the wellbeing of the elderly people living at St Theresa Nursing Home. These concerns were as follows, pressure area care, nutrition needs and improper use of medicines were identified. Also other concerns were in adequate staffing levels, nevertheless a general lack of confidence in the management of the service. On the day of the inspection, CQC found out that the manager was not available to answer these serious concerns which it appears that the care home has been running without a responsible person to meet the legal requirements in accordance with the Social Care Act.