Archived: Fountain View

Updated 8 November 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was carried out on 26 and 27 September 2016 and was unannounced. The inspection was carried out by an adult social care inspector.

Before the inspection, we reviewed all the information we held about the home including the previous inspection reports and notifications received by the Care Quality commission. A notification is information about important events which the provider is required to tell us about by law. We used this information to help us decide what areas to focus on during our inspection. The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information included in the PIR along with information we held about the service.

During our inspection we spoke with two relatives and four people. We also spoke with the registered manager, the assistant regional director and two support staff. We reviewed records relating to the management of the home, such as audits, and reviewed two staff records. We also reviewed records relating to three people’s care and support such as their support plans, risk assessments and medicines administration records. Following the inspection we received feedback from two healthcare professionals who have had contact with the home.

Where people were unable to tell us about their experiences, we used other methods to help us understand their experiences, including observation. We used information in people’s communication support plans to communicate with people effectively.

We last inspected the home in July 2015 and found five breaches of regulations.

Updated 8 November 2016

This inspection was carried out on 26 and 27 September 2016 and was unannounced.

Fountain View provides accommodation and personal care for up to six people who have learning disabilities. At the time of our inspection four people were using the service.

Fountain View has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection on 15 and 16 July 2015 we found five breaches in regulations. We asked the provider to take action to make improvements to safeguarding, governance, making notifications to CQC and the implementation of the principles of the Mental Capacity Act 2005. This action has been completed and the provider is now meeting the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Staff had received safeguarding training and were able to describe sources and signs of abuse and identify people at risk of potential harm. Staff were aware of how to protect people from abuse. People and their relatives told us they felt safe.

Risk assessments were in place for each person on an individual basis. Staff were aware of the risks and knew how to mitigate them.

There were enough staff on duty to meet people’s needs. The registered manager explained how staffing was allocated based on people’s assessed needs. Recruitment was carried out safely to ensure that potential members of staff were suitable to work in the home.

Medicines were stored safely and administered by staff who had been trained to do so. Medication competencies were checked every three months to ensure staff remained confident to administer medicines appropriately. Medication Administration Records (MAR) were kept for each person and were correctly completed. Medicine stock levels were monitored and recorded on a daily basis by the member of staff administering medication. Medicines were also audited weekly and monthly.

People were asked for their consent before care or support was provided and where people did not have the capacity to consent, the provider acted in accordance with the Mental Capacity Act 2005. This meant that people’s mental capacity was assessed and decisions were made in their best interest involving relevant people. The registered manager was aware of her responsibilities under the Deprivation of Liberty Safeguards (DoLS) and had made appropriate applications for people using the service.

Relatives told us they were very happy with the care provided to their family members. Staff understood people’s preferences and knew how to interact and communicate with them. People behaved in a way which showed they felt supported and happy. People were supported to choose their meals. Snacks and drinks were available in between meals. Staff were kind and caring and respected people’s dignity.

Support plans were detailed and included a range of documents covering every aspect of a person’s care and support. The support plans were used to ensure that people received care and support in line with their needs and wishes. We saw this reflected in the support observed during the visit.

There was evidence in support plans that the provider had responded to health needs.

There was an open and transparent culture within the home. Staff were able to raise any issues or concerns with the registered manager who listened and responded. The home had a pleasant atmosphere, where staff worked well together and supported the registered manager in her role.

Incidents and accidents were recorded appropriately and investigated where necessary. Any learning or changes to support plans were discussed with staff. Accidents and incidents were monitored for any trends which could be identified both within the home and across services, so that learning could be shared.

The service maintained a detailed system of quality control in order to ensure the quality of service was maintained and improved. This included regular checks carried out by the registered manager, the deputy manager and staff. There were also internal and external audits which identified improvements to the service. Appropriate actions had been taken.

Staff said they felt encouraged to feedback to the registered manager. They enjoyed the positive and open culture in the home.