Frampton House Residential Care Home

Updated 14 January 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Frampton House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 did not have a manager registered with the Care Quality Commission. A new manager was in place who had recently submitted their application to the CQC. This meant the provider was 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 inspection

We reviewed information we had received about the service since the last inspection. This included feedback from the local authority. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service. We spoke with two members of staff including the manager and finance manager.

We reviewed a range of records. This included four people’s care records and medication records online. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including infection control policies and procedures were reviewed.

After the inspection

We contacted and received feedback from eight relatives. We spoke to five further members of staff including the Housekeeper, a Team leader, a Senior and Care workers.

Updated 14 January 2021

About the service

Frampton House is a residential care home providing personal care for up to 30 older people, some of whom

may live with dementia. Accommodation was arranged across three floors and at the time of the inspection

24 people were living in the home.

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

People were exposed to the risk of acquiring infectious diseases including Covid-19 because infection control procedures were not always managed safely.

There had been technical issues with access to electronic systems for the manager that had only recently been resolved.

Quality monitoring systems and management oversight had been significantly reviewed since our last inspection This was particularly noticeable with regard to record keeping and keeping the environment safe.

The new manager and team were also using an electronic care record system to help ensure high standards of care were consistently maintained.

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 were seen to be treated in a kind and caring manner and staff understood the importance of maintaining their privacy and dignity. They were supported to choose and take part in meaningful activities, and again were seen to be engaging enthusiastically with these. One relative told us.” The variety of activities is brilliant and although I never thought my relative would want to join in, I am pleased to see the photographs on social media.”

People were able to see healthcare professionals when they needed to, and they received their medicines in the ways prescribed for them. They were encouraged to have a balanced diet to help them stay healthy and well hydrated, and one resident said, “the food is just lovely, I often have seconds”.

There were enough staff employed in the home to ensure people's needs, wishes and preferences were met in a timely manner.

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 the service was good (published 4 October 2019)

Why we inspected

We received concerns in relation to infection control and staffing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Frampton House Residential Care Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to monitor the service and discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to people's safe care and treatment.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan to understand what the provider will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress.

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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.