Background to this inspection
Updated
20 May 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 14 October 2014 and was unannounced.
This inspection was carried out by one inspector and one Expert by Experience. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their expertise is older people and dementia care.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During our inspection, we spoke with seven people who used the service, two visiting relatives and six members of staff. They were the registered manager, deputy manager, administrator, handyperson and two care staff. We also received comments from two health and social care professionals. We looked at six records which related to people’s care, we also viewed health and safety records including fire and water temperature records regarding the safe running of the service. We used the Short Observational Framework for this Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
20 May 2015
This inspection took place on 14 October 2014 and was unannounced. The last inspection of this service took place on 08 August 2013 when no breaches of regulations were found.
Finborough Court provides care and accommodation for up to 22 people. Finborough Court specialises in the care of older people including people living with dementia.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff interacted with people who lived at their home in a caring and professional way. People were supported to attend religious services if they wished to do so. Staff talked with people individually and in groups using photographs to stimulate memories.
People living at the service, staff and visitors described the management of the service as open and approachable.
People who used the service felt safe and secure Most people who used the service felt that it could do with a few more staff. Whilst staff addressed their needs, they did not always have time to chat.
Call bells were answered very quickly. Where people had limited mobility, their call bell had been placed very close to them and within easy reach.
People had their mental health and physical needs monitored. However It was not clear from the care plans how often people with diabetes were having their blood glucose levels monitored.
Staff had received training in how to recognise and report abuse. Staff spoken with, were all confident that any allegations made would be fully investigated to ensure people were protected.
The service provided training in the form of an induction to new staff and comprehensive on-going training to existing staff. The senior staff of the service were knowledgeable with regard to Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The service had made referrals and worked with the Local authority to support people who used the service with regard to (MCA) and (DoLS)
People who used the service were content with the meals and Staff supported people with their food and fluid intake. We saw that risk assessments and resulting plans of care had been recorded in the individuals care record.
People who used the service were consulted about the way in which the service should provide activities for people.