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Inspection Summary


Overall summary & rating

Good

Updated 19 August 2016

The inspection took place on the 29 and 30 June 2016 and was unannounced.

Fieldgate Nursing Home is registered to provide care for up to 39 people. The home is registered with the Care Quality Commission to provide nursing or personal care for older people. At the time of our inspection there were 33 people in receipt of care from the provider.

The home had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Registered managers and providers are required to send statutory notifications to the Care Quality Commission (CQC) when a significant event occurs. For example, receiving an injury. The provider had sent very few notifications to CQC and during the inspection we found two incidents that had not been notified to CQC.

People told us they felt safe in the home and staff were aware of the procedure to take if abuse was suspected.

Staff were recruited safely and records included appropriate checks as well as proof of identity to ensure they were appropriate for the role they were employed to undertake.

Medicines were stored and secured appropriately and people received their medicines on time.

The registered manager was knowledgeable about the Mental Capacity Act 2005 (MCA) and Deprivation of Safeguards (DoLS). When people were assessed as unable to make decisions for themselves the MCA 2005 process had been followed. DoLS are put in place to protect people where their freedom of movement is restricted to prevent them from possible harm. The registered manager had taken appropriate action for people who needed their movement restricted.

People had sufficient to eat and drink and were supported to maintain a balanced diet. They had access to a range of healthcare professionals and services.

People were looked after by kind and caring staff who knew them well. They were supported to express their views and to be involved in all aspects of their care. People were treated with dignity and respect.

People and their relatives thought that the home was well-led. They all spoke positively about the registered manager and the staff group.

Complaints policies and procedures were in place and were available to people and visitors. People and their relatives told us they were confident that they could raise concerns or complaints and that these would be dealt with.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

Inspection areas

Safe

Good

Updated 19 August 2016

The service was safe.

People told us they felt safe and risks to people were managed in a safe way. Staff knew how to recognise and report any potential abuse.

There were enough qualified staff to provide people's care and support safely.

The provider had a robust recruitment procedure in place to ensure people were suitably employed

Medicines were managed safely and administered as prescribed.

Effective

Good

Updated 19 August 2016

The service was effective.

People received care and support from staff who had the skills and knowledge to meet their needs.

Staff had received appropriate training, and understood the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

A variety of food and drink was available at the home and specialist diets were supported. People told us they were happy with the meals provided.

Caring

Good

Updated 19 August 2016

The service was caring

Staff at all levels supported people with care and compassion.

People using the services told us they found the staff caring and friendly.

Staff respected people's privacy and dignity.

Responsive

Good

Updated 19 August 2016

The service was responsive.

Care records were person-centred and reflective of people's needs.

People were supported to follow their interests and take part in social activities

The provider had a complaints procedure in place and people told us they knew how to make a complaint.

Well-led

Requires improvement

Updated 19 August 2016

The service was not always well led.

Notifications had not always been submitted to the Care Quality Commission when required.

Staff told us they were supported by the management team.

Quality assurance checks were carried out to identify if improvements were required.