Background to this inspection
Updated
7 July 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
Two inspectors and an assistant inspector undertook the on-site inspection. Two Expert-by-Experiences telephoned people living at the service and relatives to seek their feedback. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Furzehatt is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all this information to plan our inspection.
During the inspection
We spoke with seven people who used the service on the telephone and five people in person. We also spoke by telephone to 16 relatives and one in person about their experience of the care provided. We spoke with 13 members of staff including the area manager, registered manager, deputy manager, a nurse, care staff, and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included seven people’s care records and multiple medicine records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We spoke with one professional who regularly visited the service.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found.
Updated
7 July 2021
Furzehatt Residential and Nursing Home (“Furzehatt”) is a residential care home providing personal and nursing care for up to 62 people aged 65 and over. At the time of the inspection 58 people were living at the home.
Furzehatt accommodated people across two separate wings, each of which had separate adapted facilities. “The Lodge” was accommodating 28 people on a residential basis with nursing care provided by the community nursing team. “The Court” was providing nursing and residential care to 30 people.
People’s experience of using this service and what we found
People spoke to us about staff who they felt were caring. Some said they felt staff did not have the time to spend with them socially. The nights and mornings were the times mentioned. Some staff and relatives also shared a similar view. During this inspection, we did not find any staffing concerns. We have shared the feedback with the registered manager who is seeking further feedback from people and staff to clarify the exact concerns and where improvements can be made.
Feedback from relatives and professionals was positive. Both spoke of good communication from staff and management who were responsive to questions and issues raised.
People had their health, dietary and welfare needs met. Their medicines were given and looked after safely. People’s care arrangements were personalised and regularly reviewed. Risk assessments were in place to support people to have their care safely managed by staff. These were in place on moving into the service and quickly reviewed. Support from a range of health and social care professionals was sought as needed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
There was a clear system of leadership and governance in place led by the registered manager with the support of a deputy, other senior staff and the provider. This meant there was good oversight of the quality of the service with action taken as required to address any issues.
Rating at last inspection
The last rating for this service was Good (published 10 July 2019).
Why we inspected
We received concerns in relation to the management of people’s continence, skin care and diabetes. As a result, we undertook a focused inspection to review the key questions of Safe, Effective and Well-led only.
We found no evidence during this inspection that people were at risk of harm from the concerns.
On having the initial concerns raised with them, the registered manager and provider took action to ensure any issues were addressed.
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.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has remained as Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Furzehatt Residential and Nursing Home on our website at www.cqc.org.uk.
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.