Fourways Residential Home

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• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safety and safeguarding were key threads throughout all aspects of care and support. For example, included in each staff interview, monthly care plan reviews, surveys and there was a safety board for people and staff to refer to. This included following the NHS Strategy 6 C's of Care. Booklets such as Age UK about falls and safety were available for everyone. People felt very safe from the risk of harm or abuse and staff knew how to identify and manage safeguarding. People were informed about what type of care they should expect. Staff supported people to make decisions about risk. Risk assessments were completed to promote independence and minimise risks to people. For example, all community destinations were risk assessed prior to visiting to ensure good amenities and access. Additional professional support, including a sports therapist, and clear risk plans were obtained where needed. Care plans were very clear and detailed with excellent guidance for staff and family involvement to keep people as safe as possible. There were sufficient, safely recruited staff who had received excellent training to meet peoples’ needs. The service had commended nationally for their work in train the trainer and commitment to staff training.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

People felt safe with the staff that supported them. We saw kind and respectful interactions between people and staff. Staff understood peoples’ personalities, for example spending time with them if they felt depressed or anxious. One person said, “The staff are aware of people’s moods. If you are miserable, they will try and find out why.” Staff said, “We have a ‘safe home’ notice board that gives us, visitors and residents principles, safeguarding contact details and some information about safeguarding.

People were kept safe from avoidable harm because staff knew them well and understood how to protect them from potential abuse. Staff said they felt confident and supported to speak up if they had any concerns. Management were able to give us examples of appropriate safeguarding referrals where they had identified risk.

We saw people enjoying time with staff throughout the visit. People said how lovely the staff were and we saw staff being attentive to ensure people were warm or would like a drink or snack.

People were very well safeguarded from harm and abuse. Staff were trained thoroughly and received a reminder booklet on many topics. There were excellent systems to report, record and review any concerns. Staff worked in line with the Mental Capacity Act 2005 (MCA) with people who may lack mental capacity to make their own decisions supported in their best interests. The service focussed on enabling people to live the life they wanted to including how to enable people to take positive risks that enhanced their quality of life. Appropriate legal authorisations and independent advocates were in place and understood. A Safe Board informed staff and people living at Fourways to understand what they should expect and how the service worked to maintain and monitor safety in a holistic way.

People told us staff helped them feel safe without minimising their independence. They felt able to move freely around the home and spend the day as they wished. People said, “I’ve had a few falls. A physiotherapist comes in and gives me exercises which staff make sure I do”, “Staff are trying to get me to be more independent and helping me with my walking” and “I’m now showering myself again in my room.”

Staff told us they had sufficient information in care plans and handovers were an opportunity to be made aware of information so they were up to date. Staff kept people safe by regularly reviewing risk assessments and care plans as peoples’ needs changed.

Staff were visible and knew how peoples’ risks were managed. Pressure care was well managed with daily reviews and appropriate equipment to minimise risk. We saw staff encourage people to do things for themselves with a friendly rapport.

People had very detailed risk management plans that were discussed with them and their family, including for all the venues they visited in the community. One person had been able to access the community on their mobility scooter. Staff had gone with them running beside the scooter to ensure they were safe and now the person enjoyed regular trips independently. The service focussed on what people could do to promote a community spirit and good quality of life. For example, regular exercise classes were run, focussing on back health. People were able to be fully involved in the community, attending local talks and accessing amenities. The safety board informed people and staff about how safety was managed and what actions were being taken, for example in relation to falls. Emergency evacuation plans were in place. External professionals’ advice was sought to ensure all risks were managed. The registered manager said, "We always try to find a way to make things happen safely."

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

People said they liked the staff supporting them and support was available in a timely way. Records showed regular checks for people if they were in their rooms and clear monitoring checked throughout the day. Staff enjoyed spending time with people who they knew very well. They shared events together such as raising funds for a community defibrillator by holding cake sales and parties.

People said they liked the staff supporting them and support was available in a timely way. Records showed regular checks for people if they were in their rooms and clear monitoring checked throughout the day. Staff enjoyed spending time with people who they knew very well. They shared events together such as raising funds for a community defibrillator by holding cake sales and parties.

Staff were visible throughout our visit providing timely care and support. The provider and registered manager lived next door and was always available. For example, people were able to ask for shopping or to go out with the driver. People knew staff and management. Staff agreed there were sufficient staffing numbers, based on peoples’ needs, with a supportive ancillary and management team.

People were very well supported by staff who had been safely recruited. Safety issues were included in all staff interviews and ongoing meetings and training. Staff received regular supervision, appraisal and support and records were up to date. Staff said, “We have regular supervision with our care manager. These are good opportunities for us to talk through how we think we are doing at Fourways. If there are improvements we and the team can make.” Inclusion and a good staff team were very important with the service, holding a welcome party for new staff and encouraging sharing of cultures. Staff all spoke of the good support they received and how much they enjoyed working at Fourways. One member of staff said, “They are always approachable, and nothing is too much trouble for them. I was supported to further my career by completing [qualifications] and getting a promotion to senior carer. My managers often teach me how to do a team leader role and I take charge of a shift.” Staff were supported by managers on each shift and had access to wellbeing and confididential discussions with the compliance manager and able to access information in quiet areas. Support included receiving learning in individual ways and supporting protected characteristics with staff and people living at the service able to access information, for example about LGBTQ+ and terminology.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.