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Archived: Fauld House Nursing Home Good

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Inspection report

Date of Inspection: 8 August 2012
Date of Publication: 23 August 2012
Inspection Report published 23 August 2012 PDF

Overview

Inspection carried out on 8 August 2012

During a routine inspection

We carried out this inspection to check on the care and welfare of people using this service. We visited Fauld House Nursing Home in order to up date the information we hold and to establish that the needs of people using the service were being met. We also needed to check that the provider had met the compliance action we made in January 2012 regarding the lack of staff available to people using the service during the night.

The visit was unannounced which meant the provider and the staff did not know we were coming. We spoke with nine people using the service, five staff on duty and three visitors whilst we were there, and other staff afterwards on the telephone.

We found that people�s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. The home was warm, clean and well maintained with no malodours. We saw people had the necessary equipment in place to provide a safe environment. Bedrooms were personalised and suitably furnished, and shared rooms offered screening. This meant people�s privacy, dignity and independence were respected.

People spoke well of the home, one person told us, �The staff are polite and ask me what I would like, I don�t feel on my own which is nice.� �Another person using the service said, �The staff are so willing; there is nothing here to worry about.�

Everyone we spoke with told us that staff were helpful and kind. We heard staff speak respectfully and it was clear from our observations that people reacted positively when the staff engaged with them. We observed staff providing support and saw people were treated with respect. Personal care issues were discussed sensitively and discreetly. We saw the staff listened to people and did not rush them.

We looked at the recruitment procedures for staff and found that suitable systems were in place to protect people using the service.

When we last visited the home in January 2012 we found that the provider did not offer enough staff at night. We checked the rotas and spoke with the staff who confirmed there were now always three staff on duty during the night. They told us this had been a significant improvement, one person told us, �I don�t have to wait as long as I used to during the night for the staff to answer my bell.� A staff member said, �It has had an impact on the morning shift because we are now not as rushed.�

We looked at medication management and found that medication was not always recorded in a suitable manner. This meant people using the service could be placed at risk because the management of medicines was not as safe as it needed to be.

We looked at ways in which the home assessed its own quality and safety and saw suitable systems were in place except for the above.