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What the CQC found at Enhanced Elderly Care Service - Fellingate Care Centre Limited

Goodpublished 14 September 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed through visitor screening, social distancing, testing, protective equipment, cleaning and an up-to-date infection prevention and control policy.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2021

Enhanced Elderly Care Service - Fellingate Care Centre Limited was inspected but not rated; inspectors were assured about infection prevention and control.

This was a targeted inspection on 22 January 2021. It checked infection prevention and control because of the CQC's response to coronavirus outbreaks in care homes. The visit was announced.

Inspectors found systems to screen visitors, support social distancing, test people and staff, use personal protective equipment safely, and clean the home. They were also assured that new admissions were handled safely.

The home supported people's wellbeing and helped people stay in contact with relatives using electronic communication. This inspection did not give an overall quality rating. Safe was inspected but not rated.

What inspectors praised
  • Infection control

    The home had procedures to prevent infections, including visitor screening, social distancing and additional cleaning of frequently touched areas.

    “The home was clean, tidy and well ventilated.” from the report
  • Personal protective equipment

    The home was well stocked with protective equipment. Staff were trained to use it safely and used equipment was disposed of safely.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Testing and admissions

    People were tested before admission, and people using the service and staff were tested in line with government guidance.

    “The service admitted people safely and in line with best practice guidance.” from the report
  • Wellbeing and contact

    The home helped people keep in touch with relatives electronically and used surveys to find out what people enjoyed. Staff could also receive emotional support from external professionals.

    “The home had supported the wellbeing of people and staff.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you currently screen visitors and manage visits?
  2. 02How are people and staff currently tested for infections?
  3. 03How do you train staff to use protective equipment, and how is used equipment disposed of?
  4. 04How often are frequently touched areas and communal spaces cleaned?
  5. 05How do you currently help people keep in contact with relatives and support their wellbeing?

This was a targeted inspection of infection prevention and control practices, and it did not provide an overall quality rating. This explanation was written from the published report of 3 February 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, September 2019

Enhanced Elderly Care Service - Fellingate Care Centre Limited was rated Good; inspectors found kind, personalised care, with some medicine and record-keeping issues fixed during the inspection.

This was an unannounced inspection over three days. Inspectors spoke with 11 people using the service, seven relatives and 16 staff. They reviewed care records, medicine and food and fluid records, staff files and management records.

The home provided nursing and personal care for up to 81 people, with 78 people living there at the time. Inspectors found people were safe, treated kindly and supported to make choices. Staff supported people with food, healthcare, activities, communication and end of life care.

The overall rating was Good. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection, published on 14 March 2017.

What inspectors praised
  • Kind and respectful care

    People and relatives said staff treated them well. Inspectors found that staff listened, protected privacy and promoted independence.

    “Staff treated people well. They listened to people and responded to their questions with patience taking care to provide answers which people would understand.” from the report
  • Personalised support

    Care plans recorded people's choices and preferences. People and relatives were involved in planning and reviewing care.

    “Staff had documented person-centred care plans using the provider's electronic care planning system.” from the report
  • Activities and relationships

    People had a weekly programme of activities and were supported to maintain family and community links.

    “The activities coordinators provided had an activities plan for each week.” from the report
  • Good healthcare support

    Staff worked with healthcare professionals and helped people access services such as GPs, district nurses and chiropodists.

    “The service had a good relationship with the local GP surgery.” from the report
  • Responsive management

    The provider monitored the home and acted quickly when inspectors raised issues.

    “The registered manager took prompt action to improve people's care when the inspectors identified areas for improvements.” from the report
What inspectors were concerned about
  • Medicine records and instructions

    needs fixing

    Some medicines given when needed did not have clear guidance. Topical medicines were not always recorded consistently, and some medicine records did not have photographs. The report says no one was harmed and improvements were made immediately.

    “Medicines to be administered on an 'as and when' basis did not always have guidance in place.” from the report
  • Food and fluid records

    needs fixing

    Staff did not always use the food and fluid recording systems consistently. This meant risks to people's health could not always be measured, although the report found no indication of harm.

    “These were not consistently used by staff and risks to people could therefore not be measured.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that 'as and when' medicines have clear instructions for staff?
  2. 02How do you make sure topical medicines and medicine photographs are recorded correctly?
  3. 03How do you check that food and fluid charts are completed consistently and reviewed when intake is low?
  4. 04What improvements made during the 2019 inspection have been maintained?
  5. 05How do you use people's care plans, preferences and feedback to review their care?

This was an unannounced planned inspection covering the home, the care provided and all five CQC questions; the previous ratings were also reviewed and remained Good. This explanation was written from the published report of 14 September 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Enhanced Elderly Care Service - Fellingate Care Centre Limited

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Enhanced Elderly Care Service - Fellingate Care Centre Limited →

  2. September 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Enhanced Elderly Care Service - Fellingate Care Centre Limited →

  3. March 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2015Requires improvement
    Safe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. January 2011

    Registered with the Care Quality Commission on 6 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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