CQC report explained · a residential care home
What the CQC found at Floshfield
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable safeguarding, risk assessment, recruitment, medicines and infection control arrangements. There were enough staff during the day, but night-time deployment was under review because people's needs were changing.
- Effective?
- Good
- Staff were trained and experienced, and worked with health professionals to meet people's needs. People were supported with nutrition, healthcare and decision-making in line with the Mental Capacity Act.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff offered choices and used communication strategies to understand people who found it difficult to express their wishes.
- Responsive?
- Good
- Care plans reflected people's routines, preferences, communication needs and goals for independence. People took part in day services, cultural events, holidays and outings, and complaints were handled appropriately.
- Well-led?
- Good
- The registered manager and provider had clear responsibilities and used audits and action plans to improve the service. People, relatives and professionals were involved in planning and reviewing care where appropriate.
What inspectors found, July 2019
Rated Good; inspectors found safe, kind and person-centred care, with some ongoing work on night staffing and the shared areas.
This was an unannounced inspection on 7 June 2019. One inspector met all six people living in the home, four support workers, the senior support worker and the registered manager. Records, medicines, staffing, training, safety checks and quality audits were also reviewed.
Inspectors found that people were safe and treated with kindness and respect. Staff understood people's needs, supported their choices and worked with health and social care professionals. Care plans gave detailed guidance, and people were offered activities and outings suited to their interests.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 12 January 2017.
Kind and respectful care
Inspectors saw patient, sensitive support. Staff protected people's dignity, privacy and independence.
“We observed kind and patient support being provided. Staff supported people in a respectful way.” from the report
Skilled staff
Staff had suitable training, experience and knowledge of the complex needs of people living in the home.
“Staff had extensive knowledge of different disorders people were living with and were skilled in working with people's needs.” from the report
Personalised support
Care plans included people's routines, preferences, communication needs and goals for developing independence.
“The provider ensured person-centred care was provided and people's needs and wishes were met, wherever possible.” from the report
Good healthcare links
The home worked with a range of health and social care professionals, including specialist services, to support people's health.
“The provider ensured good working relationships had been built with health and social care professionals.” from the report
Safe medicines management
Medicines were stored, administered and disposed of appropriately. Staff competency was checked and medicines were reviewed when needed.
“Medicines were ordered, stored, administered and disposed of appropriately.” from the report
Night staffing under review
needs fixingThe manager was considering changes to night-time staff deployment because people's needs were changing. Ask how this review was completed and what staffing is now in place.
“The registered manager was considering changes to the way staff were deployed by night because of changing needs of people.” from the report
Some shared areas untidy
minorInspectors found that some shared areas were a little untidy. A senior support worker was helping staff make the home more orderly.
“Some shared areas were a little untidy but the new senior support worker was helping staff to make the home more orderly.” from the report
Healthy weight planning developing
minorThe team was still developing plans for people who needed help to maintain a healthy weight. Families should ask how individual nutritional needs are monitored.
“The team was developing the planning for people who needed help maintaining a healthy weight.” from the report
- 01How are staff deployed at night now that people's needs have changed?
- 02What has been done to keep shared areas orderly since the inspection?
- 03How do you assess and review support for people who need help maintaining a healthy weight?
- 04How will you understand and record my relative's choices if they find it difficult to communicate?
- 05How are relatives involved in reviewing care plans and the 'Transforming West House' improvement plan?
This was an unannounced inspection of the care home covering all five CQC areas, including both the premises and the care provided. This explanation was written from the published report of 9 July 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.
What inspectors found, January 2017
Rated Good; inspectors found safe, kind and responsive care, with some activities and records still being improved.
This was an unannounced inspection on 1 December 2016. The inspector spoke with the four people living in the home, staff, managers and health and social care professionals. They read care files, medicines records, meal records, training records, rosters and quality audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Staff levels had improved since the previous inspection. Medicines were managed properly, people received suitable food and health support, and staff treated people with kindness, privacy and dignity.
The previous inspection found three breaches about staffing, nutrition, and care planning. This inspection found that all three had been addressed. The home had a new registered manager, and further work was planned on age-appropriate activities, the environment and record keeping.
Improved staffing
Staffing had improved since the previous inspection and was considered suitable for people's needs. Day and night arrangements were kept under review.
“At this visit we saw that staffing levels were kept under constant review to reduce risk and give suitable levels of care.” from the report
Kind and respectful care
Inspectors saw staff protecting people's privacy and dignity. Staff also encouraged people to make choices and remain as independent as possible.
“We observed staff interacting with people who lived in the home. Staff were respectful and were mindful of people's privacy and dignity.” from the report
Care planning had improved
The previous problems with care planning had been addressed. Assessments and plans were being updated when people's needs changed.
“At this visit we noted that care plans had been updated and that staff were fully aware of the content.” from the report
Quality monitoring
The provider and manager carried out audits covering areas such as medicines, staffing, care and the environment. Action plans were used when issues were found.
“West House had an extensive quality monitoring system in place.” from the report
Activities needed updating
minorThe inspectors found that some people would benefit from more age-appropriate activities and entertainment as their needs changed. They made a recommendation for the home to seek specialist guidance.
“We recommend that the service seek advice and guidance from a reputable source about age appropriate activities and entertainments that meet the changing needs of people in the home.” from the report
Records still being improved
minorThe manager was still updating some care files and planned changes to handover records and other recording systems. These were described as further improvements rather than a breach.
“Other minor changes were planned to make recording more robust.” from the report
End-of-life training planned
minorThe manager was planning to include end-of-life care in the staff training plan. The report does not say that this training had already been completed.
“The registered manager told us he would be including end of life care in his training plan.” from the report
- 01What age-appropriate activities and entertainment have been introduced since the inspection?
- 02How are staffing levels reviewed when people's dependency or risks change, especially at night?
- 03Have the planned end-of-life care training and staff development work been completed?
- 04How are care files, handover records and archived information kept accurate and confidential?
- 05How are people and their families involved in reviewing care plans, goals and preferences?
This was an unannounced inspection of the overall quality of the service and all five CQC questions, covering the four people living in the home at the time. This explanation was written from the published report of 12 January 2017 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 Floshfield
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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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9 live-in carers within about an hour of Cumberland
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 9 years' experience on average.
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