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The Fountains Care Centre Inadequate

The local authority has identified this service as suitable to care for people discharged from hospital with a positive coronavirus (COVID-19) test result. We have checked it meets the infection prevention and control standards we expect. Find out more about these checks

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Inadequate

Updated 18 September 2021

About the service

The Fountains Care Centre is a residential care home providing personal and nursing care to 46 people at the time of the inspection. The service can support up to 62 people.

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

People were not always supported in a way that was safe. Risk assessments contained inaccurate, out of date and contradictory information, especially in relation to skin care. In some cases, risk assessment were missing altogether, for example, in relation to epilepsy and diabetes, and care was not always provided in line with risk assessments. Medicines were not managed in a safe way. There were gaps in medicines administration recording sheets and guidance was not always available to staff about when to administer PRN (as required) medicines.

There were significant gaps in staff training, in particular, in relation to people’s health care conditions and care planning. We found maintenance issues at the service were not addressed in a timely fashion. People were not always offered a choice of food and records relating to food and fluid intake were not properly maintained. Suitable arrangements were not in place for ensuring people received care that was person-centred. People were not always supported to express their views, for example, in relation to the food they ate.

Quality assurance systems were ineffective and failed to identify shortfalls within the service. Some of the providers stated quality assurance systems had not been used at all, for example in relation to monitoring staff competence and performance. People and relevant others were not regularly consulted about the service, despite senior staff telling us this should have been done. Some staff expressed concerns about the management culture at the service.

Systems were in place for dealing with safeguarding allegations and staff were aware of their responsibility to report any safeguarding concerns. Checks had been carried out on the premises to help ensure safety in relation to fire and other issues. Robust staff recruitment practices were in place. Appropriate arrangements were in place in relation to controlling the spread of Covid-19.

Assessments were carried out of people’s needs before they were admitted to the service. Staff received some training relevant to their roles, along with regular one to one supervision. The provider worked with other agencies to meet people’s health care needs.

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; the policies and systems in the service supported this practice.

People and relatives told us staff were caring and they were treated with respect. People’s needs were met in relation to equality and diversity issues.

Care plans were in place, which for the most part, were of a satisfactory standard. Information was available in a format which was accessible to people. People were supported to take part in various activities. The provider had a complaints procedure, and complaints were dealt with in line with the procedure. Appropriate end of life care arrangements were in place for people.

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 (published 14 December 2018).

Why we inspected

The inspection was prompted in part due to concerns received about wound management, hydration, lack of referrals to other health care agencies and ineffective quality assurance systems. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

We looked at infection prevention and control measures

Inspection areas

Safe

Inadequate

Updated 18 September 2021

The service was not safe.

Details are in our safe findings below.

Effective

Inadequate

Updated 18 September 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 18 September 2021

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 18 September 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 18 September 2021

The service was not well-led.

Details are in our well-led findings below.