Freshford Cottage Nursing Home is a residential care home providing personal and nursing care to up to 20 people. The service provides support to older people who were living with a range of health care needs. Some people had memory loss associated with their age and physical health conditions. The service also provided care and support for people who were at the end of their lives. At the time of our inspection there were 17 people using the service.
People’s experience of using this service and what we found
People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
The quality of the service was regularly monitored through audits, however we identified areas where further improvements were needed in relation to mental capacity and people’s records.
Staff understood how to support people safely, risk assessments provided further guidance about individual risks.
People were supported to have enough to eat and drink throughout the day. We identified that improvements were needed to the delivery of the lunchtime meals. The registered manager told us this would be addressed.
Staff received regular training and supervision and individual support was provided to ensure staff had the knowledge and skills to support people. People were supported to maintain and improve their health with support from health care professionals.
The home was clean and tidy throughout. Systems were in place to help ensure people were protected from the risk of infection. Staff understood safeguarding risks and procedures and knew what to do if concerns were raised. People were supported to receive their medicines when they needed them. There were enough staff, who had been safely recruited, working in the service.
People were happy living at the home. They told us staff were kind, they were given choices and able to do what they liked throughout the day. There was a positive culture at the service. People, relatives and staff were asked for their feedback through meetings, discussions and feedback surveys.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 16 March 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the effective and well-led sections of this report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Freshford Cottage Nursing Home on our website at www.cqc.org.uk.
We have identified breaches in relation to need for consent and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.