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Fewcott House Nursing Home Outstanding

All reports

Inspection report

Date of Inspection: 14 August 2013
Date of Publication: 18 September 2013
Inspection Report published 18 September 2013 PDF


Inspection carried out on 14 August 2013

During an inspection in response to concerns

We conducted a visit in response to concerns we had received regarding Fewcott House. During our visit we spoke with eight people who used the service, 12 members of staff and two relatives. We looked at 11 people�s care plans and staff training and supervision records.

We found that people�s needs had been assessed, but that care and treatment had not always been planned and delivered on the basis of the assessments. For example, where people had been assessed as having a very high risk of developing pressure areas it was not always clear what actions staff should take and were taking to reduce and manage the risk.

We found that there were enough suitably qualified and experienced staff on duty to meet the needs of the people. However, we found that staff were not always appropriately supported to carry out their role. For example, nursing staff had not received regular supervision and appraisal.

The provider did not have suitable systems in place to assess and monitor the quality of the service that people received. People were sometimes exposed to care that was not always safe due to a lack of quality monitoring.

We found that notifications to CQC of deaths of people who used the service had not always been made.