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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

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Not met this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

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 who use the service, staff and visitors were not protected against the risks of unsafe or unsuitable premises.

Reasons for our judgement

At our visit Fountain Nursing and Care Home could accommodate up to twenty-seven people who had social care and/ or nursing needs. The accommodation was a large three storey period property with three lounges, one dining room and mainly single bedrooms. The third floor of the premises was used for staff residential accommodation.

People who lived at the home were older people who had limited mobility and most had dementia. This meant that all but one of the people living at the care home needed assistance to get up, washed and dressed each day.

Upon our arrival we undertook a full tour of the home. This included viewing several bedrooms, the reception area, communal lounges and dining areas. We found that the premises were clean and tidy and in a reasonably good state of repair. All the bedrooms we viewed had been personalised to reflect people’s tastes and interests.

We found that some bedrooms were quite small and had insufficient space to safely use lifting equipment to assist people from their beds into wheelchairs . We saw care staff were sometimes working in tight spaces and were at risk of injuring themselves.

Corridors on the ground and first floors were narrow and would not accommodate any more than standard sized wheelchairs. We found that no-one could pass through the corridors until the person in the chair and the carer has passed through. We found that all three lounges were small and were not suitable for the use of lifting equipment. We noted that the ‘nurse call/warden alarm’ call buttons in the lounge areas were not placed in convenient positions so people could reach them should they need assistance.

We observed lunch time and noted that the dining room only had space for 13 people to have their meal. This meant that some people had to eat their lunch either in the bedrooms or in one of the nearby lounges. We checked records and it was not clear where people preferred to eat their meals in the lounge or their rooms or whether their options were restricted due to a lack of space in the dining room.

We spoke to people about their living environment. Comments included, “My nurse call (warden call alarm) is by my chair in the bedroom and I can’t reach it from my bed” and “My room is okay.”

Although the premises were reasonably well maintained, the design and layout of the premises were unsuitable for people with mobility disabilities. This meant that people who use the service, staff and visitors were not protected against the risks of unsafe or unsuitable premises. As a result of our concerns regarding the layout of the premises and the risks associated with it, we have asked the West Midlands Fire Service to visit the premises and undertake a comprehensive risk assessment.

We concluded that the provider has not taken steps to provide care in an environment that is safe, suitably designed and appropriate for the people who live there.