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CQC report explained · a residential care home

What the CQC found at Fownhope

Goodpublished 10 February 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, suitable risk assessments, clean premises and medicines records that were fully completed. Guidance for some as-required medicines did not fully explain how people would communicate that they needed them.
Effective?
Good
Staff had training and support, and people's health needs were met with help from health and social care professionals. The home supported people with nutrition, communication, accessibility and lawful decision-making.
Caring?
Good
Inspectors saw warm and positive interactions. Staff respected people's privacy, dignity, choices and independence, and relatives were positive about the care.
Responsive?
Good
Care plans described people's routines, needs and communication methods. People took part in activities they enjoyed, and relatives said they were involved in care planning and kept informed.
Well-led?
Good
The home had regular checks, quality reports, staff meetings and systems for acting on issues. Staff and relatives said communication was good and that their views were listened to.
The latest report, explained

What inspectors found, February 2023

Rated Good; inspectors found kind, safe and person-centred care, with some medicine guidance still to be completed.

This was the first inspection of the newly registered home. Inspectors visited during the day and out of hours, spoke with people, relatives and staff, observed care, and checked care, medicine, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, clean premises, appropriate support with medicines, and care that met people's individual needs.

People were supported to make choices, communicate in different ways, stay healthy and take part in activities. Relatives spoke positively about the care and communication. Inspectors noted that guidance for some as-required medicines did not fully explain how people would show they needed them.

What inspectors praised
  • Kind and respectful care

    Inspectors saw warm interactions and found that staff gave people choices and explained what they were doing. Relatives were also very positive about the care.

    “We observed positive, warm interactions between people and support workers throughout our inspection.” from the report
  • Good communication

    Staff understood how people communicated through speech, sounds, facial expressions and picture cards. Relatives said staff took time to understand their family members.

    “Care records contained information about how people communicated, including what people's sounds and facial expressions may mean.” from the report
  • Health and daily support

    The home worked with health professionals and followed their advice. People were supported with food, fluids, adapted equipment and activities.

    “Advice provided by health professionals was contained in people's care records and followed by the support workers.” from the report
  • Accessible and clean home

    The building had been adapted for people's physical needs, including accessible bathrooms, hoists and outside access. Inspectors found it clean throughout.

    “Fownhope had been extended and renovated so it was fully accessible to meet people's needs.” from the report
What inspectors were concerned about
  • As-required medicine guidance

    needs fixing

    Instructions for some as-required medicines did not fully explain how people would communicate that they needed them. The service manager said these details would be added.

    “These did not contain full details of how people would communicate they needed the PRN medicine to be administered.” from the report
  • Medicine training still being completed

    minor

    Staff who gave medicines had training and competency checks, but some other team members were still completing medicine administration training.

    “All other team members were in the process of completing training in the administration of medicines.” from the report
  • End of life wishes

    minor

    No one living at the home was receiving end of life care during the inspection. People's wishes were due to be discussed at forthcoming annual reviews.

    “The service manager told us people's wishes for their end of life support were due to be discussed in people's forthcoming annual reviews.” from the report
Questions to ask them, based on this report
  1. 01Have the instructions for as-required medicines been updated to explain how each person shows that they need them?
  2. 02Which staff have now completed medicine administration training and competency checks?
  3. 03When will end of life wishes be discussed, and how will the agreed wishes be recorded?
  4. 04How will staff support my relative's particular way of communicating choices and discomfort?
  5. 05What activities are available, and how will my relative be supported to take part in the activities they choose?

This was the first inspection of the newly registered care home and covered all five key questions, as well as infection prevention and control. This explanation was written from the published report of 10 February 2023 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 Fownhope

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Fownhope →

  2. November 2021

    Registered with the Care Quality Commission on 5 November 2021.

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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