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Task D
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Orchid View Care Home

Orchid View opened as a care home in West Sussex in 2009, providing care and nursing for up to 87 people who were elderly, frail, had nursing, or dementia care needs. The £3000-per month care home that was run by Southern Cross, closed in October 2011 following an investigation by the Care Quality Commission (CQC) that found it had failed to meet eight of its essential quality and safety standards.
While it was open, Orchid view had a number of adult safeguarding alerts and investigations but no action was taken to improve the care that people were receiving. The CQC carried out an inspection in 2010 and gave a “good” rating to the home, thereby failing to ensure that the risks and harm to people living in the home were addressed. Andrea Sutcliffe, the Care Quality Commission’s chief inspector of adult social care, later admitted that the CQC did not fulfill their purpose of making sure Orchid View provided services to people that were safe, compassionate and high quality. The whistle was blown in August 2011 by an employee who contacted police about the care home’s failings after being informed by a nurse that they had found 28 drug errors in just one night shift. Sussex police launched an investigation and five members of staff were arrested, some on suspicion of manslaughter by gross negligence. However, the Crown Prosecution Service determined that there was insufficient evidence to pursue criminal charges and the case was passed Penelope Schofield, the West Sussex coroner, who ordered a serious case review to be carried out into what happened and how to guard against future failings. During this five-week inquest, which concluded in October 2013,it was revealed that residents were underfed, locked in their rooms, given wrong doses of medication, left soiled and unattended due to staff shortages and suffered because of serious failures in the home’s management. Call bells often went unanswered for long periods of time or could

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