Fleming Court

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. The provider investigated incidents and accidents and acted to help keep people safe. They analysed incidents and accidents regularly to identify learning, to help prevent a recurrence.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. People’s needs were assessed both before and after their admission to Fleming Court. This included finding out about other professionals and services involved in people’s care.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately. People, relatives and staff all commented they felt the service was safe. A relative said, “I am very confident about my (family member’s) safety at all times.”

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found appropriate authorisations were in place for all relevant people.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them. Where potential risks had been identified, specific risk assessments were carried out to identify measures to help keep people safe.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The provider carried out a range of environmental risk assessments and health and safety checks to maintain a safe environment.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. People confirmed staff responded to their needs in a timely way. A person said, “There are plenty of staff. I have made friends with a number of them. They check in on me, that is fine.” Staff were visible throughout the home and responded when people needed help.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. The home was clean, well-maintained and decorated throughout.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning how they received their medicines, including when changes happened. People received their medicines safely when they were due. Staff completed accurate records of medicines. Management checked people received their medicines appropriately.