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Inspection Summary


Overall summary & rating

Good

Updated 13 February 2020

About the service

Friars Mead is a residential care home providing care and support for up to 27 people aged 65 and over. At the time of the inspection 18 people were accommodated at the home.

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

At our previous inspection in October 2018 we found that improvements were required in all but one of the key questions (Caring). At this inspection we found that while some improvements had been made further improvements were required around the overall management of the service. People and relatives told us they were happy with the service and gave positive feedback. Additional governance systems had been introduced to help improve the quality of care and support provided, and this had improved peoples experiences.

People felt safe and well cared for by staff. Staff knew how to identify and report potential abuse. Individual risks were assessed, and measures put in place to help reduce or mitigate the risks, and this helped to keep them safe. People received their medicines regularly, they were stored securely and appropriate records kept. Staff had been trained in infection control procedures and followed guidance to help reduce the risk and spread of infection.

Staff were supported through induction, training and supervision and mostly felt well supported. Where people required assistance with eating and drinking staff supported them. People were supported to access health care professionals. People were asked to consent to care and had signed their care plans. Staff understood about giving people choices and supporting them to make their own decisions.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us they felt the staff were kind and caring. People’s privacy and dignity was maintained and promoted, and staff respected peoples confidentiality.

People's needs were assessed before they came to live at Friars Mead to help ensure that the service could meet their needs. Care plans were further developed over time when new information came to light. Care plans contained sufficient information for staff to support people according to their needs. Activities required a more consistent approach as there was not very much to 'engage' people and at the time of the inspection they were trying to recruit new activities staff. There was a complaints process in place and compliments were also recorded. People and their relatives said they would be confident to speak to a manager or raise concerns should the need arise.

The registered manager had developed and implemented quality assurance systems since the last inspection which meant they had a better oversight of the quality and safety of the service. However, further improvements were required to demonstrate consistency and sustainability. People, and their relatives were positive about the overall management of the service. People were asked for their opinions and feedback.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Requires Improvement (published 09 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 13 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 13 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 13 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 13 February 2020

The service was not consistently Well Led

Details are in our well led findings below.