You are here

Fountain Nursing and Care Home Limited Good

All reports

Inspection report

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

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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

People did not always experience care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We looked at this outcome during our last inspection of this care home in November 2012. At that time we said that the home did not have an effective system to accurately record and monitor that personal care being given regularly, which may have resulted in people not being bathed as often as they should have.

At this inspection we checked to make sure that the improvements had been made in relation to these concerns. We found that the manager had implemented an action plan and bathing records had been improved and were now fit for purpose.

We reviewed the care and support plans of three people who lived at the home. We found that each person had their own individual plan of care which included assessed needs, risk assessments and information about health conditions they have. These records were detailed and up to date. Risk assessments identified the risks that were associated with people’s physical needs and health conditions. These records enabled care staff to ensure the safety and well-being of the people they were caring for. For example we saw risk assessments had been completed in respect of managing falls, personal care and medication. These were regularly reviewed and updated as necessary.

Records showed that people had regular contact with general and specialist health care professionals which included general practitioners, dentists, chiropodists and opticians. Detailed entries were made within people's care plans to record these visits. This showed the service had sought and taken advice about any change in the person's needs or condition. We saw that people’s weight was monitored regularly. People had appropriate access to health professionals when needed.

Arrangements were not in place to ensure people were protected against the risk of receiving care or treatment that was inappropriate or unsafe. We observed care staff whilst they assisted and supported people to get up and mobilise in the morning. We saw care staff use lifting equipment and a variety of moving and handling techniques to assist people. We noted that some bedrooms were very small which made it difficult to use lifting equipment correctly. We also saw care staff use moving and lifting techniques that were inappropriate and unsafe and likely to cause injury to themselves and discomfort to the people they were supporting. This meant that people and care staff were not protected against the risk of injury or harm.

We spent several hours in the communal areas of the home and met most of the people who lived there. People appeared relaxed and comfortable with the staff who were supporting them. People were dressed in an individual style that reflected their age, gender, culture and weather conditions. Most of the people we spoke to said that they were well cared for but were concerned about the lack of care staff to support them. Comments included, “It’s nice here but the staff are busy at times, they never stop to chat” and “The home’s not bad but I have to wait until 8am for my breakfast” and “It’s nice here, the staff look after me very well, they are kind and I feel safe here.”

We spoke to relatives of people who lived at the home. Comments included, “They are brilliant carers, they can’t do enough for my relative. They talk to me about any concerns they have” and “My relative is safe and content.”

We spoke with care staff and found that they had a very good understanding of people’s needs and what they were required to do to meet those needs. We checked records and spoke to the manager and found that people were given the opportunity to participate in a number of activities and organised events at the care home.

We concluded that care and support was not always planned and delivered in a way that ensured that risks to people’s safety and welfare were minimised.