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Folkestone Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 13 December 2017

Folkestone Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Folkestone Nursing Home accommodates 45 people in one adapted building. At the time of our inspection 39 people were living at the home. Folkestone Nursing home accommodates people over three units. One unit specialises in providing care to people with dementia, the second unit specialises in nursing care and the third unit is a mixture of nursing care and dementia care.

At the previous inspection in June 2016, we found three breaches of legal requirements. This was because although improvements had been made, there continued to be an issue with medicines not being managed in safe way, staff did not always receive up to date training and quality assurance and monitoring systems were not always effective. This unannounced inspection took place on 6 and 7 November 2017 and we found significant improvements had been made.

There was a registered manager at this service. 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.

People’s needs were assessed and their preferences identified as much as possible across all aspects of their care. Risks were identified and plans were in place to monitor and reduce risks. People had access to relevant health professionals when they needed them. There were sufficient numbers of suitable staff employed by the service. Staff had been recruited safely with appropriate checks on their backgrounds completed. Medicines were stored and administered safely.

Staff undertook training and received regular supervision to help support them to provide effective care. Staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). MCA and DoLS is legislation protecting people who are unable to make decisions for themselves or whom the state has decided need to be deprived of their liberty in their own best interests. We saw people were able to choose what they ate and drank.

People and their relatives told us that they were well treated and the staff were caring. We found that care plans were in place which included information about how to meet a person’s individual and assessed needs. People’s cultural and religious needs were respected when planning and delivering care. Discussions with staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

The service had a complaints procedure in place and we found that complaints were investigated and where possible resolved to the satisfaction of the complainant.

Staff told us the service had an open and inclusive atmosphere and the registered manager was approachable and open. The service had various quality assurance and monitoring mechanisms in place. These included surveys, audits and staff and relative meetings.

The home was in need of redecoration and repair. The physical environment of the home was not decorated in a way to assist people living with dementia. We have made a recommendation about the environment being more dementia friendly.

People’s experience at mealtimes was not always pleasant. We have made a recommendation about people’s dining experience.

Inspection areas

Safe

Good

Updated 13 December 2017

The service was safe. Staff were able to explain to us what constituted abuse and the action they would take to escalate concerns.

Risk assessments were in place which set out how to manage and mitigate risks.

Medicines were stored and administered safely.

Staff were recruited appropriately and suitable numbers were on duty to meet people�s needs.

Effective

Good

Updated 13 December 2017

The service was effective. Staff undertook regular training and had one to one supervision meetings.

The provider met the requirements of the Mental Capacity Act (2005) and DoLS to help ensure people�s rights were protected.

People were supported to eat and drink sufficient amounts and eat nutritious meals that met their individual dietary needs.

People�s health and support needs were assessed and appropriately reflected in care records. People were supported to maintain good health and to access health care services and professionals when they needed them.

People�s cultural and religious needs were respected. Staff members showed that they respected people�s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

The home was in need of redecoration and repair. The physical environment of the home was not decorated in a way to assist people living with dementia.

Caring

Good

Updated 13 December 2017

The service was caring. People and their relatives told us that they were well treated and the staff were caring. People could make choices about how they wanted to be supported and staff listened to what they had to say.

People were treated with respect and the staff understood how to provide care in a dignified manner and respected people�s right to privacy.

Responsive

Good

Updated 13 December 2017

The service was responsive. People�s needs were assessed and care plans to meet their needs were developed and reviewed with their involvement. Staff demonstrated a good understanding of people�s individual needs and preferences.

People had opportunities to engage in a range of social events and activities.

People knew how to make a complaint if they were unhappy about the home and felt confident their concerns would be dealt with appropriately.

Well-led

Good

Updated 13 December 2017

The service was well-led. The service had a registered manager in place and a clear management structure. Staff told us they found the registered manager to be approachable.

The service had various quality assurance and monitoring systems in place. These included seeking the views of people that used the service.