Archived: Fiddlers Green

Updated 17 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Prior to our visit we reviewed the information we held about the service. This included inspection history, any safeguarding or complaints and notifications that the provider had sent to CQC. Notifications are information about important events which the service is required to tell us about by law.

We visited the home on the 8 February 2018. Our visit was unannounced and the inspection was carried out by one inspector.

We spoke with seven clients, the registered manager, the nominated individual and four members of staff. We also received written feedback from one relative and one external health professional.

We looked at records about care, including two files of clients using the service. We checked two staff files and the records kept for staff allocation, training and supervision. We looked around the premises and at records for the management of the service including health and safety records. We also checked how medicines were managed and the records relating to this.

Updated 17 March 2018

This inspection took place on 8 February 2018. Our visit was unannounced. This meant the service did not know we would be visiting.

Fiddlers Green is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. There were seven people using the service at the time of our visit.

The last inspection of Fiddlers Green took place in February 2017 when we found three breaches of Regulations relating to training, quality assurance and making required notifications to CQC. After the inspection, the provider wrote to us to say what they would do to meet the legal requirements.

At this inspection we found the provider had followed their action plan and improvements had been made in the required areas.

The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Throughout this report people who use the service are referred to as clients in line with their preferences.

Clients told us they liked living at Fiddlers Green and said staff were kind and caring towards them. There was a relaxed friendly and homely atmosphere when we visited.

Clients received care and support from a long standing group of staff who knew them well and understood their needs and preferences. Each client had individualised support plans to make sure they received the support they required. The service was responsive to client’s changing needs and linked well with external health professionals to help ensure positive outcomes for each client.

Staff were trained and well supported in their job roles. Staff members had been safely recruited and had received an induction to the service. They had received training around safeguarding vulnerable people and knew what action to take if they had or received a concern.

Clients were supported to have their health needs met. We saw that their prescribed medicines were being stored securely and managed safely.

The registered manager supported staff to deliver appropriate care and support. Staff attended regular training which gave them the knowledge and skills to support clients effectively. Staff had received training in the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).

There were improved systems in place to monitor the safety and quality of the service and drive improvement where required.