CQC report explained · a nursing home
What the CQC found at Fewcott House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2021
Fewcott House Nursing Home was rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.
This was an unannounced inspection on 27 October 2021. Three inspectors and an Expert by Experience visited the home. They spoke with people, a relative, staff, managers and healthcare professionals. They also observed care, looked around the home and checked medicines, recruitment, training and health and safety records.
Inspectors found people were treated with kindness, dignity and respect. Care was highly personalised and staff knew people's needs and preferences well. The home provided a wide range of activities, worked closely with health professionals and offered strong end of life support.
The home was rated Good for Safe and Effective, and Outstanding for Caring, Responsive and Well-led. These ratings were unchanged from the previous inspection, published on 5 October 2019.
Kind and individual care
People were treated as individuals and staff showed compassion in their everyday interactions. Inspectors found that people's dignity, privacy, identity and independence were promoted.
“People were truly respected and valued as individuals and were the heart of the service.” from the report
Personalised support
Care plans reflected people's needs and preferences. The home responded quickly when people's health or circumstances changed, including supporting someone to return to independent living.
“People's care and support was individually tailored to each person's individual needs.” from the report
End of life care
The home worked with healthcare professionals to provide dignified end of life care. It also created information for relatives about what happens after someone dies.
“People experienced a comfortable, dignified and pain-free death.” from the report
Strong leadership
Inspectors found an open and listening management style, effective audits and a committed staff team. Staff said they felt supported, valued and able to contribute to improvements.
“The service was exceptionally well-led.” from the report
Activities and communication
People could choose from indoor and outdoor activities, receive one-to-one support and use technology to stay in touch. Individual devices and staff language skills helped people communicate.
“The provider had taken innovative steps to meet people's information and communication needs over and above complying with the Accessible Information Standards.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and review my relative's needs before they move in and after any change in their health?
- 02How would you support my relative's communication, cultural, religious or identity needs?
- 03How are people's advance wishes and end of life preferences recorded, reviewed and shared with relatives and staff?
- 04What activities and one-to-one support are currently available, and how do you support people who prefer to stay in their room?
- 05How does the electronic medicines system help you check that medicines are given safely and reviewed when needed?
This was an unannounced inspection covering all five key questions, the care provided and the premises, including infection prevention and control measures. This explanation was written from the published report of 30 December 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.
What inspectors found, October 2019
Fewcott House Nursing Home was rated Outstanding; inspectors found exceptionally caring, responsive and well-led care, with safe and effective care rated Good.
Inspectors made an unannounced visit on 24 July 2019. They spoke with people living in the home, relatives, staff and a healthcare professional. They observed care and checked care records, medicines records, training information and quality checks.
The home was rated Good for Safe and Effective. Inspectors found enough staff, safe medicines systems, suitable risk assessments, clean surroundings and staff with the right training. People's care needs, food, healthcare and consent were also managed well.
Caring, Responsive and Well-led were rated Outstanding. Inspectors saw kind and respectful relationships, highly personal care, meaningful activities, strong community links and leadership that supported improvement. The overall rating improved from Good at the previous inspection.
Kind and respectful care
Inspectors saw warm relationships and staff who knew people well. Care was adapted to people's individual preferences, dignity and emotional needs.
“Throughout the inspection, we saw numerous examples of warm, kind, caring and positive interactions between people and staff.” from the report
Personalised support
People were involved in decisions about their care and daily lives. Staff supported people to remain as independent as possible and to continue activities that mattered to them.
“People received individualised high quality care that was planned to meet their individual preferences and care and support needs.” from the report
Activities and community links
The home offered activities based on people's interests and helped them stay connected with the local community, families and different generations.
“Fewcott House had forged strong links with the village they were located in to reduce people being socially isolated and to integrate people into the community.” from the report
Strong leadership
Managers supported staff, listened to their views and used audits and feedback to improve the home. Staff were described as motivated and proud of their work.
“The registered manager and senior team used effective systems to monitor quality and safety and drive improvements in the service.” from the report
Safe staffing and medicines
Inspectors found enough staff with the right skills and found that medicines were received, stored, given and disposed of safely.
“The home had enough staff on duty with the right skill mix to keep people safe.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently make sure my relative's care plan reflects their preferences, history, communication needs and choices?
- 02What activities and community opportunities would be suitable for my relative's interests and abilities?
- 03How do you currently monitor falls, infections, weight loss and other risks affecting residents?
- 04What arrangements are in place for end of life care, and how are families involved in planning?
- 05What changes have been made to the laundry system following the complaint about missing clothes?
This was an unannounced inspection covering all five CQC questions, including the care and the premises provided by the home; Safe and Effective remained Good, while Caring, Responsive and Well-led improved from their previous ratings. This explanation was written from the published report of 5 October 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.
Every inspection of Fewcott House Nursing Home
5 rated inspections over 6 years: the service has improved, from Requires improvement to Outstanding.
- December 2021Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2019Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- February 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- July 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2014Inspected but not rated
- February 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 5 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.
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Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
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