- Care home
Freeland House Nursing Home
Report from 19 February 2024 assessment
Contents
Ratings
Our view of the service
Freeland House is a 101-bed residential and nursing care home for older people some of whom lived with dementia. We completed this assessment in response to concerns we had received. This assessment included a site visit to the service by 3 inspectors and an Expert by Experience on 12 March 2024. We looked at 10 quality statements. People’s dining experience varied. Whilst some people experienced a positive dining experience, others where not always supported with their nutritional needs as expected. There was a disconnection between the care staff and kitchen staff. Kitchen staff were not always aware of some people's dietary needs such as diabetics despite information having been given to them. The provider took immediate action to address the concerns and were continuously looking to improve people’s experiences. Whilst some staff felt confident to speak up, others did not due to personal relationships within the management team. There was no clear process in place for staff to follow when there were personal relationships within the management team which could deter staff from raising concerns. The provider took action and updated their policy to ensure that staff could speak up when they needed to. People told us they felt safe living at the service. Staff knew how to identify and report any concerns. Safe staffing levels were maintained, and the home was only using agency staff to cover short notice absences. The provider had safe recruitment and selection processes in place. Risk assessments and management plans were in place and risks to people's safety and well-being were managed through a risk management process. Evidence showed accidents and incidents were managed safely and lessons were learnt. People, staff and relatives told us they found the management team approachable and visible in the home. There was a clear management structure which aided the smooth running of the home. The provider had effective quality assurance systems.
People's experience of this service
People’s dining experience varied. Whilst some people experienced a positive dining experience, others where not always supported with their nutritional needs as expected. We received mixed feedback regarding food choices and support during meals. People told us they felt safe living at the service. Relatives said the home was clean and people were able to take part in various activities to meet their interests and needs including outside visits. They also confirmed that communication had improved, and they were kept informed of any changes. People and relatives told us their feedback was continuously sought and used to improve people’s outcomes. People's risks were assessed and managed safely. People told us there were enough staff to meet their needs. Where people required support, we saw staff were quickly at hand and anticipated some people’s needs. There was meaningful staff engagement with people, and we saw staff understood people’s needs.