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Fewcott House Nursing Home Outstanding

All reports

Inspection report

Date of Inspection: 21 January 2014
Date of Publication: 28 February 2014
Inspection Report published 28 February 2014 PDF

Overview

Inspection carried out on 21 January 2014

During an inspection looking at part of the service

We carried out this inspection to see if the provider had made improvements since our last inspection in August 2013. At that time we had concerns about the standard of care and welfare experienced by people who used the service, how staff were trained and supported and how the provider monitored the quality of the service.

During this inspection we saw the provider had implemented processes that had led to improvements in the service. We found that people�s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Staff we spoke with told us they felt supported and had received training and supervision. One told us �I feel supported, it�s good since [the manager] came. Everything is more organised�. One person told us �it�s my home and I�m happy here�.

During our inspection we looked at the provider�s quality assurance and risk management systems. At our last inspection we identified that the provider did not have an effective system to regularly assess and monitor the quality of the service that people received. We also found that the provider did not have an effective system to identify, assess and manage risks relating to the health, safety and welfare of people who used the service. At this inspection we found that the provider had introduced some systems to evaluate the quality of the service and to identify, assess and manage risks. However, we found that some of these systems were not being effectively operated. We also found that the provider did not have comprehensive oversight of the risks affecting all aspects of the service and therefore the approach to managing risks was not coordinated and structured.

Records relevant to the management of the service were not always accurate and fit for purpose. For example, records relating to the supervision of staff. Records were not always kept securely and could not always be located promptly or easily.