Folkestone Nursing Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People were supported to access relevant health care professionals. However, some improvements were needed. Care was not always as person centred as it could have been. For example, a person who was on a Halal diet was served non Halal meat during our inspection. This was breach of Regulation 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they received person-centred care based around their individual needs.

During the assessment we spoke to the Manager who told us about the new care planning system they are introducing. They told us how it will ensure that all aspects relating to a person will be covered within the system, ensuring that all health needs will be identified and met. They also told us how it will provide information about the person’s life, their history with the life they have led. We saw that the current paper based care planning system did not do this. The current system was missing important information about people with serious health concerns and it did not describe who the person was and their lives to date.

We noted that staff were caring for the people they support. We noted a warmth and respect from all staff towards the people living in the home. Staff were kind and considerate, showing empathy and understanding in their approach. We witnessed throughout both the days of our visit examples of very positive interactions between the staff and the people living in the home. However, we did observe that the care offered was not always person centred. During our assessment we saw food in a person’s bedroom that had been prepared which had not been eaten and was cold due to the length of time it had been there. The person had been given a pork sausage as part of this meal, we learnt as part of this person’s faith they do not eat pork and that they should be offered Halal meat. The home was aware of the person's dietary needs. This was a breach of Regulation 14 of The Health and Social care Act 2008 (Regulated Activities) Regulations 2014.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

There was some provision of activities provided by staff, for example, we saw staff doing some exercises with people and helping with puzzles. A person told us, “I find there is enough going on to occupy me. There are puzzles and crosswords to do.”. People told us that staff were interested in them. One person said, “My mind is young and they know it and treat me accordingly. The carers are wonderful, night and day. They are totally focused on our needs. They respect me as a person and all of this makes me feel good inside. We chat about my life and theirs and general conversation."

We heard from the provider how people had access to health care. We learnt that the home has close links with the GP who they meet with in the home every week as well as an opportunity for a further virtual meeting. We also heard about the good working relationship with the local pharmacy who are able to meet the demands of providing medication at short notice. The Manager also shared with us a list of people with specific health needs who have been referred for health treatment such as people with epilepsy, diabetes, people who struggle with eating and drinking and those who are at risk of falls. The manager told us that they did seek to provide activities. They said they did not currently employ designated staff to provide activities, but that they were actively seeking to recruit an activities coordinator and hoped to do so in the near future. Staff were aware of the importance of confidentiality. A staff member told us, “Residents information is confidential. So we can’t discuss them in front of other residents.”

The provider had policies in place to promote equalities in outcomes. For example, they had a policy on equality and diversity. People were able to express their views through regular interaction with staff and the new manager had recently introduced meetings for people and their relatives. However, as noted previously, care plans did not always cover people’s needs in relation to equality and diversity. People’s preferences around activities was not properly assessed. For example, the care plan for one person said their activities should be based around their life history, but there was no life history in place. People were supported to access relevant health care services, including GPs, tissue viability nurses, nutrition and diet services and speech and language therapists.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.