Background to this inspection
Updated
19 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service, and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector and one Specialist Advisor who was a qualified nurse.
Service and service type
Fountain Nursing and Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the records held on the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
We also reviewed notifications received from the provider about incidents or accidents which they are required to send us by law. We sought feedback from the local authority and other professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We looked at six people’s care records to see how their care was planned and delivered. Other records we looked at included two staff recruitment files, staff supervision activity, staff training records, accident and incident records, safeguarding, complaints and compliments, staff scheduling, management of medication and the provider’s audits, quality assurance and overview information about the service.
We spoke with five people and one relative to ask about their experience of the care provided. As some people were unable to share their views with us, we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care for people who are unable to speak with us. We spoke with three members of care staff, the cook, one nurse and the registered manager.
After the inspection
We made telephone calls to two other relatives to ask about their experience of the care provided. We also continued to seek clarification from the provider to validate evidence found.
Updated
19 February 2020
About the service
Fountain Nursing and Care Home is a care home that provides nursing and personal care for older people, some of whom are living with dementia or a sensory impairment. At the time of the inspection, 24 people lived at the service. The home supported people over three floors and had a range of communal areas such as dining spaces, a large garden and smaller lounge spaces.
People’s experience of using this service and what we found
People received person centred care and support based on their individual needs and preferences. Staff were aware of people's life histories and individual preferences. They used this information to develop positive, meaningful relationships with people.
Staff were very knowledgeable about people’s changing needs and people and their relatives confirmed that changing needs were addressed.
We found some residents were not always supported by staff that were caring, compassionate and treated them with dignity and respect. Any concerns or worries were listened and responded to by the registered manager and used as opportunities to improve.
People told us they felt well cared for by staff who treated them with respect and dignity and encouraged them to maintain relationships and keep their independence for as long as possible.
People were supported by staff who had the skills and knowledge to meet their needs. Staff understood and felt confident in their role. People told us the atmosphere at the home was family orientated. Staff liaised with other health care professionals to ensure people's safety and meet their health needs.
Where people lacked capacity, 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 interests; the policies and systems in the service supported this practice.
Staff spoke positively about working for the provider. They felt well supported and that they could talk to management at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their role.
Audits were completed by management to check the quality and safety of the service.
The registered manager worked well to lead the staff team in their roles and ensure people received a good service.
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 requires improvement (published 19 February 2019).
Why we inspected
This was a planned comprehensive inspection based on the rating of requires improvement at the last inspection.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.