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Archived: Fessey House Good

This service was previously managed by a different provider - see old profile

Reports


Inspection carried out on 1 and 2 July 2015

During a routine inspection

Fessey House provides accommodation and personal care for up to 39 older people. At the time of our inspection there were 37 people living there. The bedrooms are arranged over two floors and divided into four units. Two of the units provide long-term care and support to people living with dementia. The other two are discharge to assess units and offer short term care and support. People on these units are there for a period of assessment to either assist them to move back to their own homes with some rehabilitation or support them to move to more suitable accommodation. There are communal lounges and a dining area on each floor with a central kitchen and laundry. The home is part of SEQOL, a social enterprise which is a business with a social purpose to provide quality care and support to adults living in Swindon and the surrounding areas.

The inspection took place on 1 and 2 July 2015. This was an unannounced inspection. During our last inspection in September 2013 we found the provider satisfied the legal requirements in the areas that we looked at.

A registered manager was employed by the service. 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.

We looked at four care plans and found that some guidance did not always identify how care and support should be provided. This meant that people were at risk of not receiving the care and support they needed.

People told us they felt safe living at Fessey House and they were well looked after. Systems were in place to protect people from abuse. Staff knew how to identify if people were at risk of abuse and what actions they needed to take to ensure people were protected.

Care staff we spoke with demonstrated a good understanding of people’s care needs, important people and significant events in their lives. Staff were also knowledgeable of people’s daily routines and preferences.

People were supported to eat a balanced diet. There were arrangements for people to access specialist diets where required. There were snacks and drinks available throughout the day during our inspection.

Staff managed medicines safely and ensured people received their medicines as prescribed.

There were effective systems in place to reduce the risk and spread of infection. Staff we spoke with were clear about their responsibility in regard to infection control.

Staff said they felt confident to raise any concerns with the management team and would feel supported and their concerns listened to and acted upon. There was a positive open culture between management and staff.

Health and social care professionals spoke positively about the care and support people received and praised the management team.

Inspection carried out on 6 September 2013

During a routine inspection

People who lived in the home we spoke with told us they were well treated by the staff and were happy with the care and support they received. We were told that staff were friendly and respectful.

The home provided good quality meals that met people's dietary needs. People were provided with choice and variety in the menus.

The home was clean and hygienic throughout.

The home provided sufficient staff on duty to meet peoples needs. Staff undertook regular training and received good levels of supervision.

Inspection carried out on 1 March 2013

During a routine inspection

We undertook this visit to follow up compliance actions that had been set at our previous inspection. The service had supplied an action plan detailing changes they were making to ensure compliance. At this visit we met with one of the two registered managers who ran the service and also talked with some of the care staff. We found that improvements had been put in place to the care planning system and also to the auditing of the care plans. We found that the service was now compliant.

We found that personal care and support guidance was provided to staff for people newly admitted to the home and that person centred plans were then being subsequently developed. Staff we spoke with said that information was easier to access and record.

Inspection carried out on 25 September 2012

During a routine inspection

People who lived in the home we spoke with said they enjoyed living there and were well treated by the staff. We observed staff interacting positively with people and treating them with respect. Many people living in the home were unable to comment upon their care due to their dementia.

We found there were some shortfalls in the recording of the assessing and planning of care and have required that improvements are made.

We found that the home was clean and hygienic and that all staff had completed training in infection control.

We found that the home trained staff correctly before they undertook any responsibility for administering medication.

Staff we spoke with said they completed regular training and were clear about their roles and responsibilities. The required employment checks were completed on staff before they commenced employment.

Inspection carried out on 20 October 2011

During a routine inspection

We found Fessey House to be well organised with a committed staff team. Staff felt supported and training was available to help them meet people's needs. People looked well cared for and feedback was that it was a good place for people to live.

One person we spoke with said �it�s very nice here and better than living on my own�. They said �the food is good, there is a choice and plenty of it�. They went on to say �the good thing is the staff treat you with respect�.

We spoke with relatives who all made favourable comments. One told us that the home had contacted them so that they could speak with their spouse when they were upset. This reassured the person and they were grateful.

Another person�s family told us how they felt that Fessey House was their parent�s home. They described the staff as �angels� speaking fondly about one staff member who speaks a foreign language to their relative. They said they felt this comforted their parent. They told us that they knew their parent �would die with dignity�.