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Archived: Fistral House Residential Home

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Inspection report

Date of Inspection: 25 November 2013
Date of Publication: 20 December 2013
Inspection Report published 20 December 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

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 25 November 2013, talked with people who use the service and talked with carers and / or family members. We reviewed information given to us by the provider.

Our judgement

Peoples' views and experiences had been taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

At our last inspection we had concerns that the views and experiences of people who lived at Fistral House had not always been considered in the way the service was delivered. We issued a compliance action in this regard.

We spoke to four people who lived at Fistral House and one visitor. People told us "I have no complaints, they are all very kind" and "I come and go as I please".

We spoke with the registered manager, deputy manager and two staff. We reviewed the daily records for three people who lived at Fistral House. At our last inspection we had concerns these records were limited to the care tasks provided for the person and did not contain any information relating to the person and their social activity. On this occasion we found the home had begun to use more comprehensive daily records to document the persons mobility, mood, activity and choices made. The daily records showed people were asked how and where they chose to spend their time.

Some people at Fistral House were not able to speak with us due to their healthcare needs. We were told by the registered manager activities had been discussed with some people who lived at Fistral house. We were not able to see documented evidence this had taken place. One person we spoke with remembered a conversation with the manager regarding activities, they could not recall the decisions made. The registered manager and two other staff members told us some people are not keen on activities and choose to stay in their room, watch TV or read. We saw, and we were told, a visiting musician came to Fistral House once a month and all people in the home attended and enjoyed it. People we spoke with told us they enjoyed the musician. Staff told us they spent time with people on a one to one basis painting their nails and doing puzzles. We saw some activities recorded in the daily records. We were told there was not a set timetable for daily activities planned in advance, but staff would offer various options to people in the afternoons.

At our last inspection we found people had not been asked if they would like to have a key to their bedroom so that they could lock their door should they so choose. The registered manager told us people had been asked if they wanted a key to their room. We were told no-one at Fistral House wished to lock their rooms. We did not see this recorded in people's records. One person we spoke with told us they had been asked and did not wish to have a key. Another person we spoke with did not recall being asked, and did express an interest in having a key so they could lock their room when they went out. We discussed this with the registered manager who told us this person may have been out of the home when the question about door keys was raised to people. The registered manager confirmed they would follow up this request. The provider might wish to note discussions with people who use the service regarding the running of the home, should be recorded in their files as this demonstrates the person has had their views sought and they have been enabled to be involved in the service provided at Fistral House.

At our last inspection we had concerns people living at Fistral House did not have access to a Service User Guide which contained the complaints procedure. At this inspection we found each bedroom had a copy of the Service User Guide. This enabled people to access the necessary guidance and information regarding the service, should they need to seek advice or raise a concern at any time.

We observed staff supporting people during our inspection. We heard staff speak respectfully to people. We saw lunch being served and saw people being offered a choice of drink and meal at the table. We saw, and were told, people were offered a choice of two meals at lunch time and an wide choice of food for tea. These choices were made at the time of the meal. This supported people who may not recall a choice made many hours before a meal