7 August 2019
During a routine inspection
Fauld House Nursing Home is a residential care home that was providing personal and nursing care to 45 people aged 60 and over at the time of the inspection. The service can support up to 48 people. The home accommodates people across two separate floors, each of which has separate adapted facilities and lift. Some of the people living in the home had a diagnosis of early stage dementia. The home is situated in the village of Tutbury near to Burton-Upon-Trent in Staffordshire.
People's experience of using this service and what we found:
Although people were supported to be safe, there were recording issues with some aspects of the care and support including the application of creams. We established that no one had come to harm but this could cause confusion to staff and visiting healthcare professionals. We have made a recommendation about this that can be seen in the 'Safe' section of this report.
People said that they felt safe. Staff received safeguarding training and had a good understanding of the principals involved in acting when abuse was suspected.
Save for some issues with the recording of the administering of creams, medicines were managed safely and this meant that people received their medicines as prescribed by healthcare professionals.
Staff told us they received good support from senior staff, including nurses and the registered manager. We did note that most of the checks and audits at the home were completed by the registered manager. There was an absence of documented input by others including nursing staff and provider. We also noted that whilst the registered manager was unavailable during the early part of 2019, insufficient support and oversight had been provided. This had led to insufficient progress around improvements that were required after an inspection by the quality assurance team of the local authority in March 2019. We have made a recommendation about this that can be seen in the 'Well-led' section of this report.
People's needs were met through assessments and support planning. The service worked with healthcare and social professionals to achieve positive outcomes for people. Staff had good knowledge and skills and this ensured people's needs were well met.
The provider had a recruitment process but some checks had not always been completed before staff started work. This was resolved after the inspection. Any issues with staff were dealt with promptly using a fair and thorough disciplinary process.
People's needs were met through robust assessments and support planning. The service worked with healthcare and social professionals to achieve positive outcomes for people. Staff and carers had good knowledge and skills and this ensured people's needs were well met. We saw good examples of when people had been supported to maintain a healthy and balanced diet.
People told us carers and staff were compassionate and kind and during the inspection, we observed this to be the case. Management and staff knew people well. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People received care and support that was person-centred. We saw examples of how the care and support people received enriched their lives through meaningful activities. The service had a robust complaints policy.
The values and culture embedded in the service ensured people were safe and at the heart of the care and support they received. The registered manager and nursing staff planned and promoted holistic, person-centred, high-quality care resulting in good outcomes for people. People knew how to feedback their experiences and this was considered and acted upon by the registered manager.
There was an end of life policy in place that could be used if appropriate. Staff members had been trained around this and were able to ensure best practice was applied during times when people were at the end of life.
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 22 February 2017).
Why we inspected:
We carried out this inspection based on the previous rating of the service.
Follow up:
We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.