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Figham House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 October 2019

About the service

Figham house is a residential care home providing personal and nursing care to 58 people aged 65 and over at the time of the inspection. The service can support up to 63 people.

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

The assessment and monitoring of risk for people was ineffective. Care plans and risk assessments lacked person centred information for people’s health and support requirements. Reviews were completed but did not always reflect people’s current health needs.

The quality of the record keeping varied and some care records we looked at did not have the right information in them to manage people's care safely.

Information and records were not maintained to ensure people always received their medicines safely as prescribed. We have made a recommendation about the management of some medicines.

People and their relatives told us they were happy with the care provided. All staff demonstrated a commitment to providing person-centred care, however, this was not reflected within people's care plans and associated records.

People had developed positive relationships with staff who had a good understanding of their individual needs. Staff were friendly and polite.

People told us they felt safe and well cared for and staff treated people with respect and dignity.

People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice.

We identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 for good governance. Details of action we have asked the provider to take can be found at the end of this report.

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

Rating at last inspection

The last rating for this service was good (published 25 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 17 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 17 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 17 October 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 October 2019

The service was not always well-led.

Details are in our well-led findings below.