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North Ferriby Nursing Home Good

Reports


Inspection carried out on 19 September 2019

During a routine inspection

About the service

North Ferriby Nursing Home is a residential care home providing personal and nursing care to 30 people at the time of the inspection. The service can support up to 38 people.

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

We received positive feedback from people about the support provided to them. People felt safe and well cared for and said staff were kind. Relatives were positive about the management of the service and the good standard of care their family member received.

People received their medicines on time and as prescribed. There were enough competent, skilled staff to keep people safe from avoidable harm and the risk of abuse.

Staff's knowledge of the people they supported was good and they were able to tell us about the risks associated with peoples care and how to minimise these.

Staff received suitable training and support to enable them to carry out their role. Appropriate recruitment procedures were in place to ensure staff were suitable to work in this service.

Staff consulted with people about their care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interest; the policies and systems in the service supported this practice.

Staff assessed people’s needs and provided appropriate care and support. Staff were caring and helped people to maintain their independence. They respected people as individuals.

People, staff and relatives told us the service was well led. The registered manager had systems in place to monitor the quality of the service and made improvements where necessary.

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

Rating at last inspection

The last rating for this service was good (published 15 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 17 January 2017

During a routine inspection

This inspection took place on 17 January 2017 and was unannounced. The inspection was to check that the registered provider was now meeting legal requirements we had identified at the last inspection on 29 October 2015. We asked the registered provider to take action to improve: safe care and treatment; and nutritional and hydration needs.

During this inspection we found that the registered provider had taken action to improve practices within the service in line with their action plan from February 2016. We found these improvements were sufficient to meet the requirements of Regulation 12 and 14. This meant the service had met the breaches of regulation imposed at the previous inspection.

North Ferriby Nursing Home is located in the village of North Ferriby, in the East Riding of Yorkshire. The service provides accommodation, nursing care and residential care for 38 people over the age of 18 who may have a physical disability, a condition related to old age or who are living with dementia. At the time of our inspection there were 31 people using the service.

The registered provider is required to have a registered manager in post and there was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission (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.

People told us that they felt safe living at the home. We found that staff had a good knowledge of how to keep people safe from harm and that there were enough staff to meet people’s needs. Staff had been employed following appropriate recruitment and selection processes. People received their medicines on time and as prescribed by their GP.

People had their health and social care needs assessed and plans of care were developed to guide staff in how to support people. The plans of care were individualised to include preferences, likes and dislikes. People who used the service received additional care and treatment from health professionals based in the community.

People spoken with said staff were caring and they were happy with the care they received. They had access to community facilities and most participated in the activities provided in the service.

Staff received a range of training opportunities and told us they were supported so they could deliver effective care; this included staff supervision, appraisals and staff meetings.

The registered manager monitored the quality of the service, supported the staff team and ensured that people who used the service were able to make suggestions and raise concerns.

Inspection carried out on 29 October 2015

During a routine inspection

This comprehensive inspection took place on 29 October 2015 and was unannounced. We last inspected the service on 30 August 2013 and we found the registered provider was compliant with the regulations.

North Ferriby Nursing Home is located in the village of North Ferriby, in the East Riding of Yorkshire. The service provides accommodation, nursing care and residential care for older people, including those people living with dementia.

The property is a Grade 2 listed building that has been adapted and extended to become a nursing and residential care service. Accommodation is provided over three floors and there is a passenger lift to enable people to access all areas of the service. Communal rooms and bedrooms are spacious and some bedrooms include en-suite facilities. The service has extensive grounds and car parking facilities. The service is in the centre of the village, close to local amenities such as shops, hairdressers, a pharmacy and a public house.

The registered provider is required to have a registered manager in post and there was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission 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.

During our inspection we found that the recording and administration of medicines was not being managed appropriately in the service. This

was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3).

During our inspection we found that although people had access to sufficient meals and drinks, people said there was a lack of quality and choice of foods. The dining experience and how people were supported with their nutrition and hydration needs was not always appropriate and information about nutritional and hydration needs was poorly recorded. This was a breach of Regulation 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3).

You can see what action we told the provider to take at the back of the full version of this report.

People told us that they felt safe living at the home. We found that staff had a good knowledge of how to keep people safe from harm and there were enough staff to meet people’s needs. Staff had been employed following appropriate recruitment and selection processes.

People had their health and social care needs assessed and plans of care were developed to guide staff in how to support people. The plans of care were individualised to include preferences, likes and dislikes. People who used the service received additional care and treatment from health professionals based in the community.

We identified some concerns about the way the service obtained consent. It was not always clear how the registered provider ensured that individuals had been consulted with about their care needs, and that people had agreed and consented to the care and support being provided for them. The registered manager was in the process of obtaining evidence from families about power of attorney agreements for finances and health and welfare and making sure this was put into people’s care files.

People spoken with said staff were caring and they were happy with the care they received. They had access to community facilities and most participated in the activities provided in the service.

Although relatives told us they had been consulted about people’s care, the staff did not record how or when people and families had been involved in the development of people’s care and their care plans. We found that people’s care plans did not clearly describe their needs. We saw no evidence to suggest that people were not receiving the care they required, but judged that the care provided was not well recorded.

We have made a recommendation on the subject of record keeping and care planning.

There was a quality assurance system in place. However, further work was needed to ensure this was a robust system which assessed, monitored and reviewed the quality of people’s experience of the service and took action to ensure improvements to the service were identified and actioned as needed.

We have made a recommendation about quality assurance assessment and monitoring.

Inspection carried out on 30 August 2013

During a routine inspection

In this report the name of a registered manager appears who was not in post and not managing the regulatory activities at this location at the time of the inspection. Their name appears because they were still a Registered Manager on our register at the time.

We spoke with the registered person, the manager, two nurses, two people who lived at the home on a permanent basis, one person who was having respite care at the home and a relative as part of this inspection.

People told us that they received the support they needed, both from nursing staff, care staff and ancillary staff. One person told us, “Overall, the care is good. This more or less feels like home”. People told us that they knew who to speak to if they had any concerns.

People told us that they felt safe living at the home. Records evidenced that staff had completed training on safeguarding adults from abuse and that they were completing refresher training. The staff who we spoke with displayed a good understanding of the different types of abuse and the action they needed to take if they witnessed poor practice.

Staff were recruited in a way that ensured only people who were considered safe to work with vulnerable adults were employed. Staff rotas showed that sufficient numbers of staff were employed and staff told us that staffing levels were maintained most of the time.

There were quality monitoring systems in place that gave people the opportunity to comment on the service they received.

Inspection carried out on 10 May 2012

During a routine inspection

People who used the service told us that they enjoyed living in the home. People said “The care we receive is very good. We can talk to the staff about our care and treatment and they listen to our opinions and respect our wishes.”

People told us that the meals provided at the service offered them lots of choice and variety. People said they enjoyed living in the home and the staff were friendly and supportive.

People said that they had good access to outside healthcare professionals and they were satisfied with the level of medical support given to them. They said staff were good at giving them their medication on time and when they needed it.

People understood about safeguarding of adults and told us that they felt safe within the service. They told us there was an open door policy within the service which worked well and they were confident of using the complaints system if they needed to.

Reports under our old system of regulation (including those from before CQC was created)