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Inspection Summary


Overall summary & rating

Good

Updated 14 August 2018

The inspection took place on 24 July 2018 and was unannounced.

Fosse House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection

Fosse House is a care home without nursing registered to provide accommodation and personal care for up to 81 older people. At the time of this inspection 76 people were accommodated at Fosse House.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

When we last inspected the service in June 2016 the service was rated as Good. At this inspection we found that standards had been maintained and in one area further improvements had been made to provide outstanding experiences for people who lived at Fosse House. The staff team had worked tirelessly to provide people with excellent opportunities to enjoy personalised activities and outings as well as experience new things that they had only ever dreamt of previously. The registered manager and staff team demonstrated a 'can do' attitude to ensuring people enjoyed opportunities for engagement and stimulation. The provider had arrangements to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided. People were confident to raise anything that concerned them with staff or management and were satisfied that they would be listened to.

People felt safe living at Fosse House. Staff understood how to keep people safe and risks to people's safety and well-being were identified and managed. The home was calm and people's needs were met in a timely manner by sufficient numbers of skilled and experienced staff. The provider operated robust recruitment processes which helped to ensure that staff employed to provide care and support for people were fit to do so. People's medicines were managed safely.

Staff received regular one to one supervision from a member of the management team which made them feel supported and valued. People received the support they needed to eat and drink sufficient quantities and their health needs were well catered for with appropriate referrals made to external health professionals when needed.

People and their relatives complimented the staff team for being kind and caring. Staff were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able. Visitors to the home were encouraged at any time of the day.

There was an open and respectful culture in the home and people, their relatives and the staff team were comfortable to speak with the registered manager if they had a concern. The provider had arrangements to regularly monitor health and safety and the quality of the care and support provided for people who used the service.

Inspection areas

Safe

Good

Updated 14 August 2018

The service remained Good.

Effective

Good

Updated 14 August 2018

The service remained Effective.

Caring

Good

Updated 14 August 2018

The service remains Good.

Responsive

Outstanding

Updated 14 August 2018

The service has improved to outstanding.

The service had continued to improve on ensuring people had many and varied opportunities to engage in activities that made their lives more interesting and meaningful. The staff team worked tirelessly, supported by the registered manager to help ensure people benefited from a person-centred approach towards fulfilling their dreams and ambitions.

Well-led

Good

Updated 14 August 2018

The service remains Good.