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Inspection Summary


Overall summary & rating

Outstanding

Updated 14 January 2021

Blossom Fields is a care home that provides nursing and personal care for up to 43 people. The service is provided in accommodation over three floors. At the time of this inspection 35 people were living in the home.

We found the following examples of good practice.

The registered manager was shielding when we conducted the inspection and based as a homeworker. They constantly supported the home remotely and assisted with the inspection by sending relevant records we required. A newly appointed deputy was in post and the provider had acted promptly to ensure an increased, safe management team and oversight. One deputy manager (a nurse) and a clinical lead nurse were redeployed to Blossom Fields from one of the providers sister homes. Both nurses had previous experience in managing a Covid outbreak and their contribution was greatly appreciated and welcomed by the deputy and permanent staff.

People’s wellbeing both emotionally and physically was paramount during the Covid outbreak. Staff understood the anxieties the outbreak would cause to both the people they cared for and their loved ones. The atmosphere was respectful, peaceful and compassionate tinged with great sadness. Since the outbreak the deputy contacted relatives whose loved ones had tested positive to Covid 19 every day. This updated them on the health and wellbeing of their loved one, which had been greatly received. Additionally, weekly updates were provided to all families to offer reassurance and share any news.

We spoke with three members of staff to see how they were feeling and if they felt supported by the provider and managers. Comments included, “They have been great since I returned to work, my shifts have been devised so I don’t work long hours as the virus has left me quite tired and weak”, “I feel very safe and protected here. We are very sad and surprised by the outbreak, when we have worked so hard to keep everyone safe” and “The care remains person centred, I feel supported, the deputy and clinical lead are very hands on”.

People continued to receive prompt medical attention when they became unwell and relationships with health professionals remained very effective during these difficult, sensitive times. GP’s and out of hours support they gave when planning palliative support for those people who were receiving end of life care was ‘effective and caring’.

There were some good examples where the home had sought advice and support by outside health professionals. One NHS nurse had facilitated a questions and answers support session. Blossom Fields staff had the opportunity to ask about any concerns they had and if there was anything, they could do to improve their practice. The NHS nurse provided information to further enhance best practice, recognised and commended the home on their care and how they were handling the outbreak and details of experts the home could contact for further help and support.

Prior to our visit we were informed of the procedures we should expect when visiting, this was the policy for all professionals arriving at the service. Professionals were asked not to visit the service if they displayed any symptoms related to Covid 19. On our arrival we were greeted by a clinical lead nurse and had our temperature taken, we were asked to sanitise our hands and to wear the PPE given to us. Everyone visiting provided contact details to support the track and trace system. Visitors were shown to the area of the home they were visiting, by the shortest and most direct route.

There were policies, procedures and contingency plans in place. Clear recording and management for monitoring those staff who had tested positive were robust. The live system used, informed the registered manager when an individual’s isolation was completed. It was clear from the evidence provided that many staff had not returned after the isolation period, because they still felt unwell and the provider fully supported extended sick leave. Audits were undertaken, and actions were taken to ensure improvements were made. Staff had received training in IPC and regular updates were provided. Spot checks took place to check staff understanding and compliance with the use of PPE and infection prevention and control practices.

Inspection areas

Safe

Good

Updated 14 January 2021

We were assured the service was following safe infection prevention and control procedures to keep people safe.

Effective

Outstanding

Updated 14 January 2021

Caring

Outstanding

Updated 14 January 2021

Responsive

Outstanding

Updated 14 January 2021

Well-led

Outstanding

Updated 14 January 2021