Archived: The Fountains Care Centre

Updated 29 April 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 unannounced inspection took place on 3 April 2017. The inspection was completed by two inspectors and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection visit we reviewed the information we held about the service, including the Provider Information Return (PIR) which the provider completed before the inspection. The PIR 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 also reviewed information we received from people's relatives and the notifications the provider had sent us. A notification is information about important events which the provider is required to tell us about by law. We also reviewed information sent to us by relatives. We contacted the local authority for feedback about the service.

We observed people’s interactions with staff and spoke with nine people and six relatives. We reviewed seven people's care files, seven staff records and 20 people's medicine records, seven staff files, and other records including maintenance, menus, complaints, staff rotas and the provider's policies, procedures and various audits. We spoke with four care staff, a cook, the registered manager and the regional director.

We spoke with the registered manager, regional manager, four care staff, a cook, a maintenance man and an administrator. A few days after the inspection visit, we received feedback by telephone from a healthcare professional.

Updated 29 April 2017

This inspection took place on 3 April 2017. The inspection was unannounced and was the first one since the service has been registered with the Care Quality Commission (CQC). However, the service was previously registered with CQC under a different legal entity.

The Fountains Care Centre is a care home with nursing for 62 older people with dementia and/or nursing needs. There were 58 people using the service during the inspection.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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.

We found that people were cared for by sufficient numbers of staff who had been appropriately checked to ensure they were safe to work with people. Staff also received regular training and supervision to enable them to deliver care that met people’s needs. People were supported to consent to care and the service operated in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People could choose how staff should care for them. Staff generally treated people with respect and dignity and each person had a care plan and risk assessment. Relatives told us some staff were not so good whilst some others were too loud when interacting with people. We made a recommendation about staff being too loud when communicating with people. We saw staff treated people with respect and dignity. Care files were not well organised to allow easy access for staff. We have made a recommendation for the registered manager to make improvement on this.

People had opportunities to participate in a range of activities. A key working system was in operation which meant that people’s needs were monitored and reviewed regularly.

There was a complaints procedure in place which people and relatives were aware about. The management of the service was effective in working with people, relatives, other professionals and staff. The management also carried out regular audits of different areas of the service.