45-bed Pasir Panjang nursing home has licence revoked over lapses

45-bed Pasir Panjang nursing home has licence revoked over lapses Windsor Convalescent Home was found to have serious and systemic lapses in resident safety, clinical care and infection control practices. SINGAPORE: The Ministry of Health (MOH) issued a notice on Thursday (Jun 18) to revoke Windsor Convalescent Home’s licence to provide nursing home services. Windsor Convalescent Home currently operates a 45-bed nursing home service at 369 Pasir Panjang Road. MOH said it found "serious and systemic" lapses at the home, and it will be unable to provide nursing home services from Oct 30 at its permanent premises. “The licence revocation date of four months from now takes into consideration the time required to transfer current residents of Windsor Convalescent Home to other nursing homes,” said the ministry in a press release. “However, to safeguard the safety and well-being of nursing home residents given findings of serious and systemic lapses in compliance with requirements under the Healthcare Services Act 2020 (HCSA), MOH has deployed an interim care team to Windsor Convalescent Home with effect from Jun 18,” it said. This is to ensure that residents continue to receive proper care throughout this process, it added. LAPSES IN RESIDENT SAFETY, CLINICAL AND NURSING CARE An MOH audit in April found "serious and systemic" lapses in resident safety, clinical and nursing care, and infection control practices, said the ministry. These were compounded by a lack of control, governance and oversight by Windsor Convalescent Home’s key office holders, it added. The lapses included: - Failure to conduct appropriate reviews for residents in multiple aspects, including falls, pressure injuries and weight loss; - Failure to follow up on or adhere to the residents’ care plans - Poor medication management, such as omission of medications, use of expired medications, and discrepancies in medication quantity. - Failure to provide adequate basic care to residents - Neglecting residents’ fundamental care needs, such as basic grooming - Failure to provide appropriate nutrition for residents based on their individual needs - Failure to store food ingredients used to prepare meals for residents appropriately, with some ingredients found to be expired. - Inadequate infection prevention and control practices - Failure to implement infection prevention and control measures - Failure to ensure hygiene and sanitation in housekeeping processes. - Lack of governance and oversight by key office holders - Failure of the key office holders to exercise clinical governance over the care delivered to residents - Failure to provide oversight of the operation and maintenance of the premises.