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Fountain Nursing and Care Home Limited Good

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Inspection report

Date of Inspection: 7 August 2013
Date of Publication: 4 October 2013
Inspection Report published 04 October 2013 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

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 7 August 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and were accompanied by a specialist advisor.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

Before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

We observed care staff interact and care for people on the day of our inspection. We saw that care staff treated people kindly, with patience and with respect. We saw that people were greeted by their preferred names and were supported by staff in a respectful manner. People appeared relaxed and comfortable with the staff who were assisting them.

It was evident that most people had made choices about their care and support and that consent was verbally obtained by staff. However we noted that on some occasions (during the morning when it was busy), care staff did not always explain clearly what they were doing and did not seek the consent of the person they were assisting. This was particularly evident whilst care staff were helping people to mobilise.

We reviewed three care files to look for examples of where people’s consent had been sought for the care and support they received. Although some care plans had been signed, we found that signed documentation had not always been obtained to ensure that valid consent had been given. We saw that in some cases, there was no evidence that, where people were unable to make decisions about their care and welfare, these matters had been discussed with their relatives or with health and social care professionals.

We saw that care plans contained very specific instructions reminding staff to obtain consent from people before delivering personal care and to treat people with respect and dignity. Care plans recorded people’s likes, dislikes and preferences. This meant that care staff knew what people liked to eat and what activities they enjoyed.

We spoke with seven people who lived at the care home and talked to them about the care and support they received. People told us that the staff knew them well and were familiar with their preferences, likes and dislikes and treated them with respect and dignity. Comments included, “When staff shower me they are kind and gentle and respect my privacy.”

During our inspection, care staff showed that they had a good knowledge of the people they cared for and were familiar with their health and social needs. We spoke with care staff and they told us that they always check with a person and obtain consent before assisting them with any personal care. This allowed people to make a decision at the time personal care was to be undertaken giving them some control of how and when this happened. They told us that they knew everyone who lived at the care home very well and always acted in accordance with their wishes.

We concluded that before people received any care or support they were asked for their consent and the provider acted in accordance with their wishes.