Background to this inspection
Updated
18 February 2021
The inspection
This was a targeted inspection to check on specific concerns we had identified about the service.
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
One inspector.
Service and service type
Florence 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 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with registered manager, team leader, administrator and regional manager. We spoke with three people living at the service, and observed care and support provided in communal areas. We looked at three people’s care and support records including two people’s medicine records. We looked at records relating to the management of the service, policies, training and systems for monitoring quality.
After the inspection
The service sent us additional policies and documents for review to minimise the amount of time spent on site.
Updated
18 February 2021
About the service: Florence House provides accommodation, nursing and personal care for up to 27 people living with a mental health condition who require 24 hour support and care. At the time of our visit 24 people were using the service.
What life is like for people using this service:
• People who live at Florence House have their needs met by sufficient numbers of suitably trained staff. Staff were kind and caring towards people and knew them as individuals.
• The environment was comfortable and safe. People had input into how their home looked.
People were supported to remain engaged and had appropriate access to meaningful activity.
• People were offered a choice of good quality, nutritional meals. People were provided with appropriate support to make positive choices and reduce the risk of dehydration or malnutrition.
• People received the support they required at the end of their life. Improvements were required to end of life care planning in line with best practice guidance.
• Some improvements were required to implement a consistent care planning format and address conflicting information in some care records.
• The registered manager was receptive to our feedback and told us what action they would take to improve care planning and risk assessment.
• Despite the shortfalls we identified, staff knew about reducing risks to people and people were provided with the care they required. This was confirmed by comments from external healthcare professionals.
• The service worked well with other organisations to ensure people had joined up care. People were supported to have input from external healthcare professionals.
• People and their representatives were involved in the planning of their care and given opportunities to feedback on the service they received. People’s views were acted upon.
See more information in Detailed Findings below.
Rating at last inspection: Good (report published 25 May 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Good.