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Furzeham Lodge Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 April 2019

About the service: Furzeham Lodge is a residential care home that provides accommodation and support for up to 22 older people, some of whom may be living with dementia or physical frailty. At the time of the inspection there were 22 people living at the home.

People’s experience of using this service: People were happy living at Furzeham Lodge and told us they felt safe and well cared for. Staff were seen to be kind, caring and it was clear staff knew people and their relatives well.

People were not always protected from the risk of avoidable harm. We found risks such as those associated with medicines had not been managed safely.

We found staff were using people’s bedrooms to take their allocated breaks. The registered manager took immediate action to stop this practice.

People were not always supported to have maximum choice and control of their lives and whilst we did not find that people were being disadvantaged, we have recommended the provider reviews all documentation in relation to the management of people’s finances.

Other risks to people were being assessed and management plans were in place to ensure risks were mitigated as much as possible and staff were aware of their responsibilities to safeguard people.

There were sufficient numbers of staff employed to ensure people’s needs were met. Staff had time to sit and engage people in conversation and to support people’s involvement in social activities. Recruitment practices were safe and staff were well-trained.

The home was clean, well maintained and people were protected from the risk and/or spread of infection as staff had access to personal protective equipment (PPE).

People and their relatives were involved in making decisions about their care. The registered managers worked in partnership with health and social care professionals. The provider had systems in place to review, monitor and improve the quality of service provided, but these did not always identify shortfalls.

We have made a recommendation in relation to systems in place to monitor, the quality and safety of the services provided.

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

Rating at last inspection: The home was previously rated as Good. The report was published on 1st September 2016.

Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission scheduling guidelines for adult social care services.

Enforcement: We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We have also made recommendations in relation to mental capacity and quality assurance systems. Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor intelligence we receive about the home 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 3 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 3 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 3 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 3 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 3 April 2019

The service was not always well-led

Details are in our Well-Led findings below.