Felbury House

Felbury House is a residential care home registered to provide personal care to up to 30 people. People living at the service have a range of needs including physical disabilities and needs associated with older age and frailty. At the time of our inspection there were 29 people using the service.

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

There was a lack of robust provider oversight and governance of the service. Aspects of leadership and governance were not effective in identifying some of the concerns found on inspection related to medicines management and recruitment systems. Measures put in place by the provider to address what some staff perceived to be a culture of unfairness and favouritism within the home, were ineffective.

We received mixed feedback about activities. Whilst people who were able to participate in activities out of the home spoke positively about this, those who were less able or who chose not to go out, told us there was little provision for them. We have made a recommendation about how activities are provided.

People received safe care and support. The provider had systems and processes in place to safeguard people. Staff were trained and knew how to report any concerns they may have. People were happy with the care they received and felt safe with the staff that were supporting them. They told us there were enough staff to ensure their needs were met in a timely way. Staff undertook training to ensure they were suitably skilled and knowledgeable for the role.

Assessments were completed in response to any risks identified to people's health, safety and wellbeing. Guidance was in place for staff, so they knew the actions they needed to take to reduce potential harm. Any incident, accident or untoward event that occurred at the service was investigated by the registered manager.

People spoke of the kindness of staff and told us they were treated with respect and dignity. We observed how staff interacted with people in a very kind and caring manner. 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 had access to healthcare services and staff supported them to attend appointments. Where needed, staff engaged with healthcare professionals to promote good outcomes 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

This service was registered with us on 14 June 2021 and this is the first inspection. The last rating for the service at the previous premises was good, published on 14 December 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.