Archived: Fountain Place Nursing Home

Updated 18 May 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was inspection was unannounced and took place on 22 February 2017. At the time of the inspection three people living at the service.

The inspection was conducted by two inspectors and one Expert by Experience. ‘An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.’

Before we visited, we looked at previous inspection reports and notifications we had received. Services tell us about important events relating to the care they provide using a notification. We used a number of different methods to help us understand the experiences of people who use the service. This included the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with one person who used the service about their views on the quality of the care and support being provided. We looked at documents that related to people's care, support and the management of the service. We reviewed a range of records which included three care and support plans, staff training records, staff duty rosters, staff personnel files, policies and procedures and quality monitoring documents. We looked around the premises and observed care practices for part of the day.

During our inspection we spoke with the regional manager, the registered manager, one agency registered nurse and two care staff.

Updated 18 May 2017

This service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.

At the last comprehensive inspection we identified that the service was not meeting the Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 We took enforcement action and served warning notice on Regulation 12 Care and Treatment and imposed conditions on the registration of this service. The provider developed a comprehensive action plan detailing how they would take steps to address the conditions of registration , the warning notices and meet the other requirements they had breached.

This inspection was unannounced and took place on the 22 February 2017. Fountain place is registered to provide accommodation for up to 17 people who require nursing and/or personal care. At the time of our visit three people were accommodated.

A registered manager was 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.

Medicine systems were safe overall. Although staff signed medication administration records (MAR) when they administered medicine, MAR charts were not always signed when topical creams were applied. There were PRN (Medicines to take as required) protocols in place and when these were administered, staff documented when they had been given and the reasons why.

Staffing levels were adequate to meet people’s needs despite the high levels of agency staff used. The same agency staff were used to ensure continuity of care was provided. Recruitment of new staff was in progress and the recruitment process was robust.

The people said they felt safe living at the home. Staff knew the procedures for protecting people from abuse and harm. Staff were knowledgeable and understood their responsibilities in reporting any potential abuse. Staff had attended safeguarding training and were aware of the procedures to be followed for reporting abuse.

People received care and treatment from staff that were supported to meet the responsibilities of their role. Members of staff said the training provided was good with pathways for progression within the organisation. One to one meetings took place regularly with their line manager. Annual appraisals were to take place.

People were able to make their own decisions and told us who helped them make complex decisions if they required support.

Care plans were person centred and were reviewed to ensure people’s changing needs were met. They contained lifestyle profiles with people’s preferred routines documented. Risk assessments formed part of the care plans and action plans gave staff guidance on how to minimise the risk. However, action plans had not always been followed in monitoring people’s fluid intake.

Quality assurance systems were in place to monitor the quality of the service. The feedback from relatives had been sought on the quality of the service. Members of staff told us the team worked well together and they were supported to meet the requirements of their role. An agency worker told us they worked at the service regularly to provide continuity of care to people.