Fleming House Care Home with Nursing

Updated 18 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by one inspector, a specialist nurse advisor in the care of older people and an expert by experience in the care of older people. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Fleming House Care Home with Nursing is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and six relatives about their experience of the care provided. We spoke with 21 members of staff including the registered manager, deputy manager, maintenance manager, assistant unit managers, registered nurses, assistant practitioners, activity coordinators, care staff and the cook.

We reviewed a range of records. This included seven people’s care records and multiple medicines records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and health and quality assurance records. We spoke with three health care professionals who regularly visit the service.

Updated 18 September 2019

About the service

Fleming House Care Home with Nursing is a residential care home providing personal and nursing care to 53 people aged 65 and over at the time of the inspection. The service can support up to 55 people some who may be living with dementia.

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

People felt safe living at Fleming House Care Home with Nursing and they were very much at the heart of the service. We received positive feedback from people, their relatives and health professionals about the care provided.

Staff knew people well and were responsive to people’s needs. People were able to choose what activities they took part in and suggest other activities they would like to complete. The impact this had on people was outstanding and had resulted in people living an active life with choice evident throughout.

The service had introduced a tea room which was a popular meeting place throughout the day. People told us it was a great addition to the home and enjoyed get togethers held in the venue.

The Fleming Arms pub remained a popular destination and we observed many people enjoying themselves throughout the inspection and looked forward to planned events in the pub.

Staff were passionate about making a difference to people’s lives and had raised funds for improvements to the service and enjoyed working at the service.

People received excellent care that was based around their individual needs and that ensured care was personalised and responsive.

People were cared for by a motivated and well-trained staff team, who always put people first. Staff received regular support and received regular one to one sessions of supervision to discuss areas of development. Staff informed us they completed a wide range of training and felt it supported them in their job role. New staff completed an induction programme before being permitted to work unsupervised.

Staff had developed positive and caring relationships with people and their families. Staff were highly motivated and demonstrated a commitment to providing the best quality care to people in an individualised and compassionate way. People’s privacy and dignity was always maintained.

People received outstanding end of life care by a team of staff that were passionate about providing high quality care during people’s final stages.

Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.

The registered manager developed and promoted community involvement within the home. In the summer the home involved the national citizenship scheme which involved local children tidying the garden.

People were supported with their nutritional needs when required. People received varied meals including a choice of fresh food and drinks. Staff were aware of people’s likes and dislikes

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.

Regular audits of the service were carried out to assess and monitor the quality of the service. There were appropriate management arrangements in place.

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 04 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.