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The Farmstead Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 November 2019

About the service

The Farmstead is a nursing home providing personal and nursing care to 23 people aged 65 and over at the time of the inspection.

The Farmstead accommodates up to 66 people across three floors, in one purpose-built building. Each floor has its own dining and living areas with a kitchenette.

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

What people drank was not consistently recorded or monitored by staff. People's holistic needs were assessed but care plans were not always clear about the care to be delivered. The provider worked with other healthcare professionals to help ensure people's care and health needs were met. Staff had received training to enable them to provide safe care to people.

Although the provider had already identified some improvements needed at the home, our inspection found further improvement was required. Care records were not always reflective of people’s needs or care which had been delivered. Audit trails of incident reporting and its management were not clear. The provider started improvement work during our inspection and was responsive to all feedback we gave.

Systems and processes were in place to help keep people safe and risks associated with their care needs had been assessed. People were supported by staff who had been recruited safely. Medicines were managed safely. The service was clean and staff practice helped to reduce the risk of cross infection.

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. However, the associated records required more detail to show how decisions had been made.

People were cared for by staff who were kind and thoughtful. People were involved in decisions about their care and support needs. Staff respected people's privacy and dignity.

People told us they received their care the way they wanted it. People's individual needs and wishes were known to staff, who had developed positive relationships with them. There were opportunities for people to participate in various activities of their choice. There were arrangements in place for people to raise concerns about the service.

There was a positive culture throughout the service which focused on providing care that was personalised. Staff were supported in their roles and shared the provider's values of delivering care which was centred around the person.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 15 February 2019 and this is the first inspection.

Why we inspected

This was a planned inspection.

Inspection areas

Safe

Good

Updated 12 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 12 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 12 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 12 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 12 November 2019

The service was not always well-led.

Details are in our well-Led findings below.