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Fewcott House Nursing Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 5 October 2019

About the service

Fewcott House is a residential care home which also provides nursing care and is registered to support up to 40 people aged 18 and over with varying support needs. These included older people living with dementia; people with a physical or learning disability and people with mental health support needs. At the time of our inspection there were 40 people living in the home.

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

People were at the heart of the service and staff were clearly committed and compassionate, striving to provide excellent care at all times. The registered manager had developed an open, transparent and person-centred culture that was driven by a motivated and committed staff team. This motivation resulted in a whole team who were totally supportive and committed to providing high quality, individualised care. The staff team told us they were truly valued and respected. Staff were skilled, motivated and knowledgeable.

People received exceptionally personalised care and support which met their needs, reflected their preferences and promoted their self-worth. The provider upheld people's human rights.

There was a homely, welcoming atmosphere at the service and we observed very positive and caring relationships between people using the service and the staff who cared for them. Staff worked hard to promote people's right to make their own decisions about their care, where possible, and respected the choices they made. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service was exceptionally well-led. The provider and the registered manager were clear about their expectations relating to how the service should be provided and led by example. The registered manager demonstrated how their open and listening management style and robust quality assurance systems had sustained continual development and improvement at the service. They were supported by the provider who was passionate about providing people with high quality care and supported staff fully to enable them to deliver this. The provider and registered manager had developed positive links with the community which benefited those living in the service.

People had many opportunities to participate in a variety of social and recreational activities and occasions. These included activities important to people and reflected their interests and hobbies. People received positive end of life care where they were fully supported in how they received care and support at the end of their life. Effective, personalised steps were taken to ensure people who lacked capacity to make decisions received care that was in their best interest and met their needs.

People told us they felt safe. Systems were in place to ensure that risks to their health and safety were reduced. We found that sufficient staff were deployed to safely meet people's needs. Staff had received training to ensure they had detailed knowledge to protect people from the risk of avoidable harm or abuse. People were protected from the risk of an acquired health infection, as there was appropriate infection

control and prevention policies and procedures in place.

Rating at last inspection; The last rating for this service was Good (published 15 February 2017).

Why we inspected: This was a planned inspection based on the previous rating.

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

Inspection areas

Safe

Good

Updated 5 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 5 October 2019

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 5 October 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 5 October 2019

The service was exceptionally well-led.

Details are in our well-Led findings below.