CQC give verdict on Delaheys Nursing Home in St Annes after pensioner, 75, died after choking on a crumpet
Staff said they were unaware that even with the order in place, CPR could be commenced if the problem, such as choking, could be reversed.
A care home where staff failed to attempt to save the life of a 75-year-old patient who choked to death on a piece of crumpet has been rated as "good" in its latest inspection.
Inspectors from the Care Quality Commission (CQC) found residents were "treated with kindness and compassion" at Delaheys Nursing Home on Clifton Drive South.
However, an inquest earlier this year heard staff should have attempted to revive Bonita Clearly during the choking incident in October last year, even though there was a "Do not attempt CPR" (DNACPR) authorisation in place.
Frail Mrs Cleary had heart disease and dementia and had been bed-bound for weeks.
Her food needed to be "easy to chew" and a member of staff had to be present during mealtimes.
A care assistant was feeding Mrs Cleary small pieces of crumpet when she started to choke.
Knowing she was subject to a DNACPR notice, staff did not attempt to resuscitate her. A paramedic removed the obstruction but she couldn't be revived, the hearing was told.
Staff said they were unaware that even with the order in place, CPR could be commenced if the problem, such as choking, could be reversed.
The nurse said she did not realise CPR could still be carried out and said there was a lack of guidance on the issue for medical and care workers.
A statement from home operators Curo Care Collective said they had taken action immediately to inform staff.
It said: " Following this incident, a full review and root cause analysis were undertaken to understand the circumstances and identify learning.
"Immediate actions were implemented within the home and across the wider organisation to strengthen understanding of DNACPR decisions, particularly in relation to reversible causes such as choking, and to reinforce both choking prevention and emergency response procedures."
In response to Blackpool coroner Alan Wilson's concerns, the CQC said they would consider reinspecting the home.
Now, the latest inspection has revealed inspectors have no concerns, rating it "Good" in all respects, rating it "safe, effective, caring, responsive and well led".
The report said: "People were treated with kindness and compassion. Staff protected their privacy and dignity and were aware of people's preferences and wishes.
"People and relatives spoke highly about the service. People felt safe as there was always a member of staff to help when needed."
It added that relatives of residents felt the home was "well-staffed" and employees were well trained and knowledgeable.