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Florence Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 October 2020

About the service

Florence Nursing Home is a care home accommodating up to 30 older people, some of whom may be living with dementia, in one adapted building. At the time of the inspection 20 people were using the service.

People’s experience of using this service and what we found

Some risks in relation to the premises were not always identified or safely managed. The provider’s system to manage the quality and safety of the service was not consistently effective. Staff had received training, but they did not always have appropriate guidance to refer to on how to manage some possible risks in relation to Covid 19. Records of people’s care were not always accurate and up to date.

The registered manager took swift action to address the issues we found with the premises and records. They told us they would take action to address other areas of concern found.

People’s relatives told us they thought their family members were safe and well looked after. People were protected from abuse and neglect. There were enough staff to meet people’s needs and medicines were managed safely. Risks in relation to people’s health care were assessed and plans were in place to reduce risks.

We saw staff had received training on infection control, wore appropriate PPE and supported people to socially distance as far as possible. There was guidance displayed on how to manage visitors safely during the pandemic.

Staff received regular training and support to carry out their roles. 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. People’s nutritional needs were supported, and they had access to appropriate advice from health professionals.

Relatives told us they were happy with the way the home was run. However, they told us they would like more communication from the home during the pandemic, when visits were limited.

The registered manager understood their responsibilities as registered manager. Staff told us they felt well supported and worked well as a team. The provider sought people’s and their families views about the service, although meetings had not been held for some time due to the restrictions of the pandemic.

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 report published (5 December 2019).

Why we inspected.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about people’s nursing care needs. A decision was made for us to inspect and examine those risks.

We inspected and found areas of concern had been acted on but there was a concern with some risks in relation to the premises, the provider’s system to manage the quality and safety, and people’s records. So, we widened the scope of the inspection to become a focused inspection which included the key questions of Safe, Effective and Well-Led.

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 coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make some improvements.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection. You can see what action we have a

Inspection areas

Safe

Requires improvement

Updated 8 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 October 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 8 October 2020

Responsive

Good

Updated 8 October 2020

Well-led

Requires improvement

Updated 8 October 2020

The service was not always well-led.

Details are in our well-Led findings below.