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Fountain Nursing and Care Home Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 February 2019

People’s experience of using this service:

People told us that they felt safe living in the home but some processes needed improving to ensure people were protected from potential harm. Staff were not following recommended infection control procedures and improvements were needed to some aspects of the environment to make it a safer place to live.

Staff were not always supported to keep up to date with best practice and to develop their skills as they did not receive regular supervision and refresher training sessions. Audits and checks had not identified some of the issues found at this inspection and action was not always taken to address issues found in audits.

People had easy access to food and drink throughout the day and were supported to see health professionals when required. Medication was managed safely and people received the right medication at the right time.

People enjoyed having a choice of sitting in a range of different communal areas and there was a good range of activities on offer which people enjoyed.

People told us they felt well cared for and looked after by the staff team and were consistently treated with respect and dignity. Relatives were also happy with the quality of the care and felt welcome in the home. People were able to make choices for themselves when they were able to do so and decisions were made in peoples’ best interests when they lacked capacity.

Peoples’ needs were assessed and care plans reflected peoples’ wishes and preferences. People and their relatives knew how to complain and had no concerns about how the service was being led and managed. People told us they were receiving responsive end of life care which was important to them.

The manager had addressed some of the concerns highlighted at the last inspection and staff felt supported to deliver and improve the service.

More information is in the detailed findings below.

Rating at last inspection:

Requires improvement (report published 01 August 2017)

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. At the time of the inspection, 23 people lived at the service. The home was established over three floors, with a range of communal areas included dining spaces, a large garden and smaller lounge spaces.

The service had a manager who had had applied to become the registered manager with Care Quality Commission (CQC). Their application was pending and they will be referred to as the manager in this report.

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Enforcement:

No enforcement action was required.

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.

Inspection areas

Safe

Requires improvement

Updated 16 February 2019

The service was not consistently safe.

Details are in our Safe findings below.

Effective

Good

Updated 16 February 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 16 February 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 16 February 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 16 February 2019

The service was not consistently well-led.

Details are in our Well-Led findings below.