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Fouracres Care Services Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 4 December 2019

About the service

Fouracres Care Services is a residential care home providing personal care for to up to four people. At the time of the inspection, the service was fully occupied. People using the service were of mixed ages and living with dementia or a learning disability.

Accommodation was provided in an extended semi-detached house in a residential street. At the time of the inspection, there was construction work ongoing at the service which started in June 2019.

The service was operating before the principles and values that underpin Registering the Right Support had been developed. However, the service would be expected to develop in line with these principles and other best practice guidance. Registering the Right Support ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service should receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People were at risk of avoidable harm as systems were not in place to ensure that medicines were managed safely.

Risks associated with people’s health and well-being were not always assessed and clear guidance was not available to staff on how to keep people safe. There was not always evidence of learning from incidents and improving the service accordingly.

Staff recruitment was not always safe or consistent.

People did not always receive individualised care according to their needs and preferences. Care plans were either not in place or reviewed regularly.

There was a lack of managerial oversight of the home. There were no effective audits of any aspect of care delivery.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. Restrictions on people were not always put in place using the correct legal procedures. Capacity assessments and decisions in people's best interests were not always completed.

The outcomes for people using the service did not fully reflect the principles and values of Registering the Right Support for the following reasons: people were not fully included in decisions about their care and treatment and did not always receive care and support tailored to their individual needs.

Staff received the training they needed to carry out their roles, but some further training was needed around supporting people with learning disabilities.

We received positive feedback regarding how caring staff were.

People were supported to maintain good physical health and were supported to access healthcare.

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 good (report published 23 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to care planning, staff recruitment, safety, consent to care, and good governance at this inspection.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The overall rating for this service is ‘Inadequate’ and the service is therefore ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within six months to check for significant improvements.

If the provider has not made enough improv

Inspection areas

Safe

Inadequate

Updated 4 December 2019

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 December 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 4 December 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 4 December 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 4 December 2019

The service was not well-led.

Details are in our well-led findings below.