CQC report explained · a nursing home
What the CQC found at Furzehatt Residential and Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff during the visit, safe recruitment, suitable risk assessments and safe medicine arrangements. Some people, relatives and staff said workers could be rushed, with delays to call bells and too little time to chat.
- Effective?
- Good
- People's health, dietary and welfare needs were met, with support from healthcare professionals when needed. Inspectors found that food quality and temperature had improved since the previous inspection.
- Caring?
- Good
- This key question was not inspected during this focused visit.
- Responsive?
- Good
- This key question was not inspected during this focused visit.
- Well-led?
- Good
- Inspectors found clear leadership, regular audits and good communication with people, relatives, staff and professionals. The management team acted on concerns and used incidents and feedback to improve care.
What inspectors found, July 2021
Rated Good; inspectors found safe, effective and well-led care, but some people felt staff had too little time to sit and talk.
This was an unannounced focused inspection on 25 and 26 May 2021. Inspectors looked at Safe, Effective and Well-led because concerns had been raised about continence, skin care and diabetes. They spoke with people, relatives, staff and a professional, and reviewed care, medicine, staffing and management records.
The inspectors found no evidence that people were at risk of harm from the concerns that led to the inspection. Medicines were managed safely, risks were assessed, people received healthcare support, and infection control arrangements were in place. People and relatives generally gave positive feedback about the care and communication.
The overall rating was Good and remained unchanged from the previous inspection. Effective improved from Requires improvement to Good. Caring and Responsive were not inspected during this visit, so their earlier ratings were carried forward.
Safe medicines
Medicines were given as prescribed and managed by trained staff. Records, stock checks and audits were in place.
“People's medicines were administered and managed safely.” from the report
Risk management
The home assessed and reviewed risks including falls, nutrition, skin care, diabetes and continence. Staff had guidance on how to reduce risks while supporting independence.
“Risks associated with people's health, care and lifestyle were assessed and monitored.” from the report
Improved meals
Inspectors found improvement in the quality and temperature of meals since the previous inspection. People were offered choices and alternatives.
“At this inspection we found improvement had been made.” from the report
Communication and leadership
Relatives and professionals described communication as good. Management used audits, feedback and reviews to oversee the service and make improvements.
“Feedback from relatives and professionals was positive.” from the report
Time for conversation
needs fixingSome people, relatives and staff felt workers were rushed, delayed answering call bells or too busy to sit and chat. The manager said morning staffing would be increased and call bell response times monitored.
“Occasionally people felt staff were rushed, delayed answering call bells and, were too busy to 'sit and chat'.” from the report
Dining areas
minorSome dining areas needed redecorating and their layout needed reviewing to improve the dining experience. A wider renovation plan had been delayed because of COVID-19 restrictions.
“There were aspects of the service, including the dining areas, that needed redecorating and the layout reviewing to provide a better dining experience.” from the report
- 01What changes have you made to morning staffing and call bell response times since the inspection?
- 02How do you make sure people have enough time for social conversation, particularly at night and in the morning?
- 03What work has been completed on the dining areas and their layout since the inspection?
- 04How are risks relating to skin care, diabetes and continence reviewed for each person?
- 05How will you maintain the improvements in meal quality and temperature?
This was a focused inspection of Safe, Effective and Well-led; Caring and Responsive were not inspected and earlier ratings were carried forward. This explanation was written from the published report of 7 July 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, July 2019
Furzehatt Residential and Nursing Home was rated Good overall; care was safe, kind and personalised, but food quality and temperature needed improvement.
Inspectors visited unannounced on 4 and 5 June 2019. They spoke with 23 people, 12 relatives, staff and healthcare professionals. They reviewed care records, medicines records, accidents, complaints, staff files and quality checks.
The home was rated Good for Safe, Caring, Responsive and Well-led. People said they felt safe, staff were kind, and care plans reflected people's needs and preferences. Medicines, risks and safeguarding arrangements had improved since the previous inspection.
Effective was rated Requires Improvement. Some meals were not served promptly or at a suitable temperature, and people gave mixed views about food quality. The home had started taking action, including ordering a heated trolley and reviewing meals.
The overall rating improved from Requires Improvement at the previous inspection, published in June 2018. The report says the home was no longer in breach of the regulations identified at that inspection.
Safe medicines care
Inspectors found that medicines were given as prescribed, stored securely and recorded properly. Staff had been trained and medicines were reviewed regularly.
“People received their medicines as prescribed, including when required (PRN) medicines and controlled drugs.” from the report
Kind and respectful staff
People and relatives described staff as caring. Inspectors observed patient, compassionate support and respect for privacy and dignity.
“People were provided with sensitive and compassionate support by a kind, committed and caring staff team.” from the report
Personalised care
Staff knew people well and understood their preferences. Care plans gave current information about how each person wanted to be supported.
“People had personalised care plans, which provided staff with up to date information about how people needed and preferred to be supported.” from the report
Improved leadership
The home had strengthened its checks, audits and management oversight since the previous inspection. People and relatives were positive about the manager's visibility and approachability.
“Monitoring systems had improved, and the service was being more consistently managed and well-led.” from the report
Activities and relationships
People could take part in varied activities and were supported with individual interests and special occasions. Relatives said visits and activities were welcomed.
“People said they enjoyed the activities available to them.” from the report
Food temperature and timing
needs fixingSome meals in the nursing unit were not delivered promptly or at an acceptable temperature. The home had put a temporary trolley in place and ordered a heated trolley, but inspectors recommended continued review.
“We saw that some people's meals on the nursing unit were not delivered in a timely way or at an acceptable temperature.” from the report
Inconsistent food quality
needs fixingPeople and relatives gave mixed views about the food. Some said quality was inconsistent, including for pureed meals, and one relative said their family member did not eat much because they did not enjoy the food.
“However, some other people and relatives were less positive and said the quality of the food was inconsistent.” from the report
Staff availability
needs fixingAlthough people generally felt there were enough staff to keep them safe, some people and relatives said staff appeared rushed and were not always available. Visiting agencies also sometimes struggled to find staff for information.
“Some people and relatives said they felt staff often appeared very rushed and did not always have time to sit with them.” from the report
Some decoration still needed
minorSeveral areas had been improved, but some communal hallways and other parts of the home still needed redecoration. Further work was planned.
“Some parts of the home were in need of redecoration, such as some communal hallways.” from the report
- 01What changes have been made to ensure meals are served promptly and at a safe, suitable temperature?
- 02How do you check whether people enjoy the food, including pureed meals, and what happens when someone is eating less?
- 03How do you decide whether staffing levels and the organisation of staff are sufficient at busy times?
- 04Which areas of the home still need decoration or improvement, and what is the planned timetable?
- 05What improvements have been sustained since the previous inspection, particularly for medicines, risk assessments and incident reporting?
This was an unannounced planned inspection that considered all five CQC questions, following a previous Requires Improvement rating and breaches in 2018. This explanation was written from the published report of 10 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.
Every inspection of Furzehatt Residential and Nursing Home
4 rated inspections over 5 years: the service has held its Good rating throughout.
- July 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Furzehatt Residential and Nursing Home →
- July 2019Goodup from Requires improvementSafe: GoodEffective: Requires improvementWell-led: Good
Read what inspectors found at Furzehatt Residential and Nursing Home →
- June 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- September 2014
Report published without a new overall rating.
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 2010.
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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