You are here

The provider of this service changed - see old profile

We are carrying out a review of quality at Fernhill. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 23 February 2017

The inspection took place on 16 January and was unannounced. The inspection continued 17 Januray 2017 and was announced.

Fernhill was a purpose-built residential home delivering nursing care and support to older people living with dementia. The home is registered to accommodate up to 58 people. At the time of our inspection there were 48 people living there. People were living across two floors. There were four house groups with up to 15 bedrooms with en-suite facilities in each. Each house had a communal living, dinning and kitchenette area. There was also a main kitchen, reception area, hair salon, sweet shop, cinema room, a sensory room and a café. These rooms were used by people and their families to meet and relax in. The manager’s office was situated in the middle of the home on the ground floor.

The service had 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.

People and relatives told us that the food was good. We reviewed the menu which showed that people were offered a variety of healthy meals. We saw that food was discussed and recorded on chef visit sheets. We found that some of these required updating.

People, relatives, a therapist and staff told us that the service was safe. Staff were able to tell us how they would report and recognise signs of abuse and had received training in safeguarding.

Care plans were in place which detailed the care and support people needed to remain safe whilst having control and making choices about their lives. Each person had care files which included guidelines to make sure staff supported people in a way they preferred. Risk assessments were completed, regularly reviewed and up to date.

Medicines were managed safely, securely stored, correctly recorded and only administered by on duty nurses that were trained and qualified to give medicines.

Staff had a good knowledge of people’s support needs and received regular local mandatory training as well as training specific to people’s changing needs. Staff told us they received regular supervisions which were carried out by the management team. We reviewed records which confirmed this.

Staff were aware of the Mental Capacity Act and training records showed that they had received training in this. Capacity assessments were mostly completed and best interest decisions recorded as and when appropriate.

People were supported to access healthcare appointments as and when required and staff followed professional’s advice when supporting people with ongoing care needs. Records we reviewed showed that people had recently seen the GP, mental health team and a chiropodist.

People, relatives and a therapist told us that staff were caring. We observed positive interactions between staff, managers and people. This showed us that people felt comfortable with the staff supporting them.

Staff treated people in a dignified manner. Staff had a good understanding of people’s likes, dislikes and interests. This meant that people were supported by staff who knew them well.

People had their care and support needs assessed before being admitted to the service and care packages reflected needs identified in these. We saw that these were regularly reviewed by the service with people, families and health professionals when available. There was an Admiral Nurse who supported the families at Fernhill and could be contacted by staff to assist in best practice when managing people’s individual needs and during pre-assessments.

Relatives and people were encouraged to feedback. We reviewed the relative’s satisfaction survey results for 2016 which contained mainly positive feedback. An action plan was in place and actions were comple

Inspection areas

Safe

Good

Updated 23 February 2017

The service was safe. There were sufficient staff available to meet people’s assessed care and support needs.

People were at a reduced risk of harm because staff had completed safeguarding adults training and were able to tell us how they would recognise and report abuse.

People were at a reduced risk of harm because risk assessments and personal emergency evacuation plans were in place and up to date.

Medicines were managed safely, securely stored, correctly recorded and only administered by nurses that were trained and qualified to give medicines.

Effective

Good

Updated 23 February 2017

The service was effective. The service was acting in line with the requirements of the MCA.

Staff received training and supervision to give them the skills they needed to carry out their roles.

People were supported to eat and drink enough and dietary needs were met.

People were supported to access health care services and other professionals as and when required.

Caring

Good

Updated 23 February 2017

The service was caring. People were supported by staff that knew them well and promoted independence whilst spending time with them.

Staff had a good understanding of the people they cared for and supported them to make decisions about how they liked to live their lives.

People were supported by staff who respected their privacy and dignity.

Responsive

Good

Updated 23 February 2017

The service was responsive. Care file’s, guidelines and risk assessments were up to date and regularly reviewed.

People were supported by staff that recognised and responded to their changing needs.

People were supported to access the community and take part in activities within the home.

A complaints procedure was in place. Relatives told us they felt able to raise concerns with staff and/or the management.

Relatives meetings took place which provided an opportunity for people to feedback and be involved in changes.

Well-led

Good

Updated 23 February 2017

The service was well led. The registered manager and clinical lead promoted and encouraged an open working environment.

Relatives and staff spoke highly about the service.

Effective quality monitoring was in place and improvements acted upon within appropriate timeframes.

The management team had a good oversight on the delivery of care to people through the use of the monitoring systems which were up to date.

Fernhill was led by a management team that was approachable and respected by the people, relatives and staff.