https://padlet.com/iqrah_naveed/ql7lsmnu1d20 This care home stated they offer care, support and treatment for up to 46 older people. This service had many inspections over the years carried out by the Care Quality Commission (CQC) the recent one was on the 1st November 2016 with the overall rating inadequate. Clinton house faced special measures, as the service failed to meet what was expected of them and required improvements in many areas. For example, caring for the service users, being responsive and if the service was effective.Clinton House was part of the Morleigh Group of care homes. This was one of the six nursing homes they provided and is now closed down. en-us 2017-11-01 11:24:08 UTC 2023-03-23 21:48:10 UTC hello@padlet.com iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439378 It was clear that staff were not trained properly or supported enough in their role, as there were many gaps in staff training.  They had care plans that were not filled in properly. This did not give them the full guidance on how they should provide appropriate care to meet the service users needs. 
They did not have knowledge as to when someone should be referred to appropriate health care professionals as it was not done in timely manner. This then  delayed relevant treatment the service user needed.  
They had dementia patients living at the home and staff were not trained enough to deal with their needs. For example one of the severe dementia patient required one-to-one to one and they could not give it to her. They even left undercover reporter Lucy alone with a dementia patient who had no experience. This was because they had other things to do, yet leaving service user or staff at risk and unaware of what their role is and how to take care of the service user effectively. 
Some staff were not trained in how medication should be given and being able to identify therisks. ]]> 2017-11-01 11:26:01 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439378 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439454 There has been forms of abuse and neglect that service users have experienced at Clinton House. Residents were left with bed pans on too long or in their room and won't disposed away. Dr Peter Holden, a GP, whose elderly care has been rated Outstanding, said: “The problem with being left in an incontinence pad is the urine and the faeces are chemicals, they are not designed to being left in contact with the skin. The skin will be damaged. (Carehome.co.uk,2016) 
At times privacy and dignity was not given. "The first thing I noticed at Clinton House was the smell - an overpowering odour of urine." said an undercover BBC reporter. One of the service user asked to go use the toilet, staff did not respond till late and she wet herself. They were being ignored and left alone from time to time. Severe dementia patient asked to hold hand of staff and she refused to give comfort and care, leaving the undercover care assistant to witness and take over. ]]> 2017-11-01 11:26:23 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439454 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439542 Clinton House had been lacking resources to help provide good care and support to the service users. 
BBC news 2016 reported "The Morleigh Group is understood to have been paid about £3,000 per week to care for the resident." There was financial issues at Clinton House, as the provider of the home were not  using the money in the right way. 
This had an affect on the service users as well as staff. There was a flood in the kitchen due to water leak which prevented staff from doing their job. There was no heating and was very cold in the building, staff were aware and gave out blankets. However living in a cold environment, could also lead to health issues. It was taking a while to get sorted when it should have been priority. There was a bell system in place which was faulty causing confusion especially for new staff. This meant service users were delayed in assistance and recieving help within a timely manner. This also links to not having enough staff on duty to meet the individuals needs. Therefore being rushed off their feet and not providing good quality of care leading to pressure and stress instead.   ]]> 2017-11-01 11:26:49 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439542 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439592 The Morleigh Group were accountable as Cornwall Council  paid them 3million pound, which they did not use well. They could have provided staff training and resources to prevent some of the issues that took place. Yet the Morleigh Group earned £1.5m profit after tax in 2015 which shows they did not have any financial issues. However they did apologise, making a statement saying: “The Morleigh Group utterly condemns the actions of inhumane, uncaring and unprofessional individuals in the programme. We apologise unreservedly to all of our residents and their families for the pain and distress suffered following the Panorama programme’s revelations."
Management and staff are also accountable for what took place at Clinton House, they had a duty of care and were not bale to carry out their roles and what was expected of them.]]> 2017-11-01 11:27:02 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202439592 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202440288 Recruitment at Clinton House was not safe as they did not take relevant employment checks and DBS was not completed before new staff were taken on. This was a risk as they were not aware of the persons background, therefore not protecting their service users from risks of being harmed by staff who were not suitable for the role. 

]]> 2017-11-01 11:30:08 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202440288 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202450354 Effective communication is vital to gain a good understanding of one another. At Clinton House a situation took place where a BBC undercover reporter went in as care assistant, she raised a question as to how one of the service user had a bruise, however the staff were not aware. This shows it was not recorded and neither did staff pick up on it or speak to each other of it, because they do not communicate with well with one another. As for the service user who had severe form of dementia was not able to recall the experience or express herself well. Being a dementia patient, may not always allow them to communicate effectively. Staff should stay five or ten minutes after their shift to talk to the next and give a brief overview of how the service users have been and raise any important information. This would then give them the heads up and gain a good idea of what has been going on and how they can meet needs of their service users as well as working in a team to this. ]]> 2017-11-01 12:09:12 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202450354 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202450452 It was an unsafe environment for the service users. There was a dementia patient who was lying in a broken bed. (Albert, A 2016) This was known to staff yet nothing was done about it leaving her in a risk of potential harm. Also if the service user was bruised or hurt, this should have been recorded, otherwise could come under abuse. CQC report mentions that staff did not make detailed risk assessments and neither were they trained to identify risks. This would have helped minimise risks making it a safer environment for the service users. There were many cases of the equipment not being maintained properly. In a CQC inspection they found that the water from the bathroom taps was really hot, it was raised in February and again in November different taps but still the same issue. This being a risk of scalding the users and staff at the the service, as the temperature of water was at 50 degrees. (CQC report 2016)  They should have reported and not used it until it was sorted. ]]> 2017-11-01 12:09:30 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202450452 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202450499 The way staff dealt with medication was not strong and was harmful in many ways. "ill give her some Morphine, that'll shut her up" said the nurse. Although she had the prescription to use Morphine as required but used it in the wrong way. The CQC report also mentions that service users were give medication that was not prescribed to them, some missed doses and there were tablet intakes unaccounted for. There was creams being shared and no date of when the cream was used upon. There was inaccurate records of when medication was taken, creams were applied and incidents in general.]]> 2017-11-01 12:09:38 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202450499 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202454085 The CQC report states that the registered manager had been on maternity leave. Act 1984; to provide for the payment of a grant to women in connection with pregnancy; to amend the functions of the Health Protection Agency; and for connected purposes. (Health and Social Care Act 2008) There was a temporary manger covering, however who was then replaced with another 9 days before the inspection in November 2016. Being put in position with no knowledge of what is going on and no preparation did not help gain a grasp of the place. However the recent manager wanted to become the registered manager of Clinton House and take responsibility. The CQC report 2016 states that a registered person then has the legal responsibility for meeting requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run. This is vital so that can do what is expected of them and run a healthy service providing that care and support they intended to offer. The manager should be aware of their staff and take control of what is taking place in order to run the service effectively. As there was some staff who were not clear on who was authorised to consent on behalf of people and the service didn't understand the DoLS legislation properly and how it should be applied.]]> 2017-11-01 12:21:00 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/202454085 iqrah_naveed https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/205916864 2017-11-11 19:47:22 UTC https://padlet.com/iqrah_naveed/ql7lsmnu1d20/wish/205916864