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Fremington Manor Nursing and Residential Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 4 September 2021

About the service

Fremington Manor is a residential care home providing personal and nursing care to 51 people aged 65 and over at the time of the inspection. The service can support up to 60 people.

Fremington Manor is a large country manor house which has been extended and adapted to meet the needs of people who are frail and elderly. There are passenger lifts to all floors with bedrooms on two floors and mainly communal spaces on the ground floor. There are level access garden areas.

People’s experience of using this service and what we found

People told us their experience of care and support had deteriorated over recent weeks due to lower level of staffing. Comments included “We are waiting much too long for call bells to be answered. The staff are doing their best, but they have been very short staffed” and “Staff are always very hurried; they are working hard but there is not enough of them and standards have slipped a little.” We heard that up until recently people’s needs were being met in a timely way.

The service does not currently have a registered manager, but the deputy manager was acting as interim manager. She and the operations manager were fully aware of staff shortages and were working to address these in a number of ways. They had recently lost 14 staff who left for various reasons and they were actively recruiting to fill these posts. They had new staff waiting to start but this was being held up due to waiting for the right checks to be in place to ensure they were suitable to work with potentially vulnerable people.

Staffing had also been short due to staff having to self-isolate as they had been in contact with someone who had tested COVID-19 positive or had recently tested COVID-19 positive themselves. The acting manager was seeking back up support from agencies but there was a shortage of agency workers to fill these gaps across the county. This was a regional and national issue at the time of writing the report.

The operations manager and interim manager held an extraordinary meeting following our first day of feedback where we identified people were being impacted from the low staffing levels. They agreed that meeting people’s basic needs had to take priority and so all staff, including ancillary staff such as kitchen, housekeeping and maintenance staff were being asked to help with tasks to support the care team. This included assisting with getting meals to people and where needed assisting with them eating their meal. The service had already ensured that all staff, irrespective of their role, had received moving and handling training and training on assisting people to eat and drink safely. The activities team were also asked to assist with aspects of care until the care team were up to sufficient numbers.

Following the inspection, we were informed that the provider had sourced four agency staff from outside of the area and had used a recruitment agency to find an interim experienced manager so the deputy manager could support the care team on the floor. We felt that in the circumstances the service were doing all they could to address the staff shortages.

We identified that due to the low staffing levels, records were not always being completed. On the first day we identified a person who was telling us they were hungry and thirsty. They were unable to assist themselves and there was no record of when they had last been supported to eat and drink. The service was in the process of moving from paper records to electronic records so some of the records may have been missed due to this change over. The provider made the decision to continue with the move to electronic records and by the second and third day of the inspection we could see a huge improvement in records such as food and fluid monitoring. Seventeen people had been identified as being at risk of poor food and fluid intake and they had records to show when food and fluid was offered and how much they had eaten and drunk each d

Inspection areas

Safe

Requires improvement

Updated 4 September 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 4 September 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 September 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 September 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 September 2021

The service was well-led.

Details are in our well-Led findings below.