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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

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 14 August 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider. We reviewed information sent to us by commissioners of services and talked with other authorities.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

We were told that an assessment of staffing levels had been undertaken based on the needs of people using the service. The provider told us that they needed to have 2 nurses on each day shift supported by 1 senior carer, or 1 nurse supported by 2 senior carers with five care assistants in the morning and four care assistants in the afternoon. At night they needed to have 1 nurse supported by three care assistants.

We asked to see the staffing rota for the previous two weeks. We saw that the required number of nursing and senior staff had been present during 11 of the 14 days and that the required number of care assistants had been present on 13 of the 14 days. We saw that the required number of nursing and care staff had been present during every night shift.

Records indicated staff were delivering the care that had been planned. For example, where people were being nursed in bed and regular repositioning was required we could see that this was being done regularly the majority of time.

We observed there to be staff present in communal areas on the day of our visit. However, the provider may find it useful to note that the staff we observed were not always meaningfully engaged with people who used the service.

At the time of our visit Fewcott House had a vacancy for the position of activities coordinator. We were told that they were in the process of recruiting a person to fill the position.