We carried out a review of the data available to us about Framland on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Framland, you can give feedback on this service.
Framland is care home registered to accommodate up to 23 people that require personal care.
We found the following examples of good practice:
The provider had sufficient stock of appropriate personal protective equipment (PPE) which complied with the quality standards.
Staff participated in various training sessions around infection control and using PPE. Staff's competency around infection control and PPE was checked regularly to prevent staff complacency. There were designated areas for donning and doffing PPE. There was signage all around the service on donning and doffing PPE and handwashing. We observed staff wearing PPE as per guidelines.
The home had not had any Covid-19 outbreaks since the start of the pandemic. The registered manager told us this had been mainly due to a strict screening process, effective communication and an established team of staff. The home solely relied on their own staff and had a pool of bank staff.
Several visitation adjustments had been introduced including end of life, essential care givers, window, garden and drive through visits which were safely facilitated for relatives on a pre-booking basis.
The registered manager had embraced the essential care giver role and welcomed it as a partnership in care. Families and friends had been encouraged to be essential care givers and this had allowed them continued visitation despite the government restrictions. Out of the 19 people in the home, seven had families with essential care giver status.
On arrival to the service, infection control procedures were explained to visitors and a declaration form needed to be completed. We saw visitors were provided and required to wear the appropriate PPE in line with government guidelines. Healthcare professionals and tradesmen were asked to evidence their vaccination status before entry.
The provider had robust systems to ensure safe admissions, including only allowing new admissions after a confirmed negative result of the Covid-19 test. The provider had also assessed the environment, with consideration given where to allocate people should they need to isolate.
Additional cleaning schedules had been introduced to ensure robust measures to reduce infection risks, including additional tasks such as cleaning of any regular touchpoint surfaces.
The provider participated in the Covid-19 regular testing programme for both people and staff.
Impact assessments to ensure appropriate support for staff had been carried out, these included individual health conditions and personal circumstances. Staff had access to dedicated counselling and advice if they been affected directly or indirectly by Covid-19.
Additional, regular communication took place. This included updates for people and their relatives to share the current 'Covid-19 status' of the service and any changes to the visiting policy.
There was a registered manager in post. 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 their relatives told us people were safe living at Framland. Staff demonstrated they understood how to keep people safe and we noted that risks to people's safety and well-being were managed through a risk management process. We observed people's needs were met in a timely way by sufficient numbers of skilled and experienced staff. People were supported by staff who had been trained in the Mental Capacity Act 2005 and applied it’s principles in their work.
People and their relatives were very complimentary about the staff and management at the home. They told us staff were kind, caring and compassionate. Staff members, including the management team, were knowledgeable about individuals' care and support needs and preferences. Visitors
were welcomed at all times and people were supported to maintain family relationships.
People's health care needs were met and they had access to a range of healthcare professionals. Where required appropriate referrals were made to external health professionals, such as G.P’s or therapists.
The provider had systems in place to receive feedback from people who used the service, their relatives, and staff members about the service provided. People were encouraged and supported to raise any concerns with staff or management and were confident they would be listened to and things would be addressed.
Staff told us, and records confirmed they had effective support. Staff received regular supervision (one to one meetings with their manager) and yearly appraisals. People were supported appropriately to eat and drink sufficient amounts to help maintain their health and well-being.
The provider had safe recruitment processes in place, which helped to ensure that staff employed were of good character and suited to the roles they were employed for. People's medicines were managed safely and kept under regular review. Infection control measures were in place to help reduce the risks of cross infection.
There was an open and inclusive culture in the home and people, their relatives and staff felt they could approach the management team and were comfortable to speak with the registered manager if they had a concern. We saw evidence that arrangements were in place to formally assess, review and monitor the quality of care provided at the home.