You are here

Fairmount Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 June 2019

About the service:

Fairmount Nursing Home provides accommodation, care and support for up to 37 people over 65 years old including people living with dementia, people receiving end of life care and people on respite care. There were 31 people living at the service on our first inspection day and 30 people on the second.

People's experience of using this service:

People and relatives told us they had a positive experience with the care provided. One person said, “I would highly recommend this place to anyone, they are always pleasant and when I ask for something I get it.”

We found the service had deteriorated in the safe domain and continued requiring improvement in the well led domain since our last inspection. The service met the characteristics of requires improvement in two out of the five key questions. This was the first time this service is rated as ‘requires improvement.’

We found one breach of the regulations in relation to safe care and treatment because of risks to people due to inconsistencies in the management of medicines and management of some risks to people's care.

At this inspection, we found improvements were still required in how the service was managing people’s medicines. Medication was administered in a kind and person-centred way however, we found inconsistencies in the administration of thickeners prescribed to manage people’s swallowing difficulties and records did not always confirm time specific medication had been administered as required.

The management of risks was not always consistent. We found concerns with the support people were receiving with their moving and handling requirements. We could not be certain people who required specialist seating equipment to meet their postural and pressure relief needs were using the appropriate equipment.

There was a regular and varied programme of activities at the home and people spoke positively about the activities coordinator. However we found people, in particular those living with dementia, spent periods of time without being offered social stimulation.

The provider had several systems in place to monitor the quality of the service, but these had not always been effective in identifying or addressing the issues found at this inspection.

People and relatives spoke positively about the relationships established with staff. People’s care plans were personalised, however this information was not always kept secure. We made a recommendation about respecting people’s rights to dignity and privacy.

People were supported by staff who were motivated, enjoyed their job and felt well supported through regular supervisions and training.

The provider had developed several links with the community and partnerships to support care provision and service development.

Feedback from people, relatives and staff was positive and they felt the service was well-led. They told us the management team were always available to speak with and were approachable. The registered manager was responsive in addressing the issues found at this inspection and told us about plans they had to improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

At our last inspection the service was rated Good (report was published on 28 October April 2016).

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up:

We will continue to monitor the service to ensure that people received safe, high quality care.

Further inspections will be planned for future dates.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 21 June 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 21 June 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 21 June 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 21 June 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 21 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.