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CQC report explained · a nursing home

What the CQC found at Freeland House Nursing Home

Goodpublished 31 May 2024, 2 years ago

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

The latest report, explained

What inspectors found, December 2018

Rated Good; inspectors found kind, safe and personalised care, with some mental capacity records still needing improvement.

This was an unannounced routine inspection on 30 October 2018, with a return visit on 1 November. Inspectors observed care, spoke with people, relatives, staff and a health professional, and checked care, medicines, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People described kind and compassionate staff, safe medicines, good food, personalised activities and a clean home.

The manager had identified that some mental capacity records needed improvement. Training for nurses responsible for care planning had been booked for the week after the inspection. The report says this was the first inspection since the service deregistered under the new provider.

What inspectors praised
  • Kind and respectful care

    People and relatives described caring relationships with staff. Inspectors saw staff treating people with compassion, dignity and respect.

    “People received compassionate support from kind and committed staff.” from the report
  • Safe medicines and risk checks

    Medicines were stored and given safely by trained staff. Risks such as falls, skin damage and swallowing problems were assessed and recorded.

    “People received their medicines safely and as prescribed.” from the report
  • Personalised support

    Staff knew people's needs, choices and histories. Activities were flexible and included outings, entertainment, games and social events.

    “People had opportunities to join with activities that were flexible and tailored to what people wanted on the day.” from the report
  • Strong management and improvement

    The manager used audits and acted when improvements were identified. People, relatives and staff were given opportunities to share their views.

    “The provider's quality assurance processes were effective and there was a focus on continuous improvement.” from the report
What inspectors were concerned about
  • Mental capacity records

    needs fixing

    Inspectors found that some records about people's mental capacity needed improvement. Training for nurses responsible for care planning had been booked for the following week.

    “people's records surrounding mental capacity needed improving and the registered manager showed us they booked training” from the report
  • Move to electronic records

    minor

    The home was transferring care records from paper copies to a new electronic system. Families may want to check that important information is complete and up to date during this change.

    “The provider introduced an electronic software to keep care records and the team were in a process of transferring all the records from paper copies to the new system.” from the report
Questions to ask them, based on this report
  1. 01What changes were made to mental capacity records after the inspection?
  2. 02What training did nurses receive on mental capacity and care planning, and how was its effect checked?
  3. 03Have all care records now been transferred from paper to the electronic system?
  4. 04How do you check that medicines records remain accurate and complete?
  5. 05How are people's preferences used to plan activities and day-to-day care?

This was an unannounced planned routine inspection that looked at the overall service and rated all five CQC areas. This explanation was written from the published report of 1 December 2018 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 Freeland House Nursing Home

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

  1. December 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Freeland House Nursing Home →

  2. October 2017

    Registered with the Care Quality Commission on 27 October 2017.

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

Weigh the report against the rest

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