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Inspection Summary


Overall summary & rating

Good

Updated 10 February 2018

Fisher Close is a care home that provides nursing support for up to 15 adults with learning and physical disabilities. Accommodation is provided within three separate purpose built bungalows which were adapted for equipment that people may need to support them. At the time of inspection 13 people were living there.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

At the last inspection we found that there were not always enough staff to meet people’s needs and at this inspection we saw that this had improved. There were enough staff and people were supported to be independent and to engage in activities at home and in the community.

Quality audits were completed in the home and were effective in highlighting any actions which needed addressing. The provider’s systems for reviewing the quality of the home and ensuring the registered manager understood what improvements were required were not always effectively implemented.

Risk management remained safe and this included ensuring that people received their medicines as prescribed. People continued to be protected from abuse and lessons were learnt when things went wrong. Infection control was managed to protect people.

Staff were still equipped to do their jobs well through training and support. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. People continued to have enough to eat and drink and their healthcare needs were met in partnership with other organisations. The building was designed and adapted to meet people's needs.

The service remained caring and staff demonstrated kind, patient interaction with people which upheld their dignity and privacy. Relationships with families and important people were encouraged by staff.

The service remained responsive because staff understood people's needs well. Care plans were up to date and people’s support requirements were regularly reviewed and amended. There were no complaints but there was a complaints procedure in place and information about how to complain was on display.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 10 February 2018

The service has improved to good.

Effective

Good

Updated 10 February 2018

The service remains good.

Caring

Good

Updated 10 February 2018

The service remains good.

Responsive

Good

Updated 10 February 2018

The service remains good.

Well-led

Requires improvement

Updated 10 February 2018

The service has deteriorated to require improvement.