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Fourways Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 31 July 2018

Fourways Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Fourways Residential Home is registered to provide personal and nursing care for 21 people. There are two floors and a passenger lift by the front door. The front door is accessible to people using wheelchairs as is the garden.

At our last inspection we rated the service Good. At this inspection we found the service remained Good overall, with one key question now being rated as ‘Outstanding’. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager working at the home. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager is also one of the directors of the company that owns the service. They have delegated the day to day to running of the home to a home manager and two deputies. However, the registered manager visits the home on most days and is actively involved in the running of the home.

People visiting, living and working at the home spoke highly of the quality of the care, the calibre of the staff and the well maintained environment, including an accessible garden complete with a range of seating areas and a summer house. One visitor said they regularly visited people living at other care homes in the area and said “this is my favourite.” Another visitor said “we knew the moment we walked in that Fourways was the right place.” People told us they were treated as equals and enjoyed the social life of the home as there were a wide range of activities and opportunities to learn and participate in different events. A newsletter kept people informed and the investment of a television, which showed pictures from events and activities at the home, had proved popular with people living at the home and their visitors.

Staff were quick to respond to people’s changing needs, providing high quality end of life care with professionalism and compassion. Families praised the support they received from staff to cope with this experience. They said staff comforted them and they gained immense reassurance knowing the staff members’ commitment to make their relative feel safe, at peace and pain free. The provider always provided transport to medical appointments, as well as company during these journeys and support, if needed, during appointments. People were positive about this type of support as the stress of planning of appointments was reduced as they were not reliant on organising their own transport. People told us staff were attentive and varied their support depending on how they were feeling.

People praised the high standard of food, the choice and the responsiveness of staff to make alterations to the menu based on feedback and suggestions. Many people chose to eat in the dining room; meals were a social occasion with people staying to chat over a drink after the meal. The provider shopped for all the food on a weekly basis to ensure the quality was of a high standard. They had invested in a dessert trolley so that a range of fresh fruit and desserts could be taken to people who chose to eat in their rooms as well as proving a clear choice for people in the dining room.

People said they could speak with any of the staff if they had a concern and were confident actions would be taken, if required. There was a strong commitment to staff trainin

Inspection areas

Safe

Good

Updated 31 July 2018

The service remains Good.

Effective

Good

Updated 31 July 2018

The service remains Effective.

Caring

Good

Updated 31 July 2018

The service remains Good.

Responsive

Outstanding

Updated 31 July 2018

The service has improved to Outstanding.

People�s life experiences were valued as were their current opinions and skills; the ethos of the home was to encourage people to enjoy the present.

Staff are professional, competent and compassionate in an emergency situation.

End of life care is provided to a high standard in a person centred manner.

The service had a responsive and flexible approach to providing activities which was person centred.

Well-led

Good

Updated 31 July 2018

The service remains Good.