(PDF, Unknown)

Transcription

(PDF, Unknown)
CQC ASC Inspections
Citygate
Gallowgate
Newcastle upon Tyne
NE1 4PA
Telephone: 03000 616161
Fax: 03000 616171
www.cqc.org.uk
Your account number: 1-138786736
Our reference: INS1-1722886622
Ann Watkinson
The Fountains Nursing Home
Victoria Park
Swinton Hall Road, Swinton
Manchester
Greater Manchester
M27 4DZ
13 April 2015
Care Quality Commission
Health and Social Care Act 2008
Inspection report and report on the action you plan to take
Location name: The Fountains Nursing Home
Location ID: 1-138786736
Dear Mrs Watkinson
Please find enclosed a copy of our final report following our recent inspection of The
Fountains Nursing Home. Please make this report readily available for people who use
the service.
We have also enclosed a one page summary of the inspection. Please share individual
copies with all the people using your service, their families, friends and carers, and also
with your staff, so they can easily see the quality of your service.
Your inspection report has been produced using our new approach to regulating and
inspecting adult social care services. For adult social care services, part of this
approach is the publication of ratings for each service, at both key question and overall
location level. Ratings are awarded on a four-point scale; ‘Outstanding’, ‘Good’;
‘Requires Improvement’, or ‘Inadequate’.
Ratings are awarded by comparing the evidence we gather during inspections with the
characteristics of ratings we have published. Firstly, ratings are awarded for each of the
five key questions. We then use rules and principles to aggregate these five ratings into
one overall rating for your location.
The table below shows the ratings your location has been awarded:
20140923 900072 v2 00 ASC Final inspection report letter (with actions)
Safe
Effective
Caring
Key question
rating
Requires
Improvement
Requires
Improvement
Good
Overall
location
rating
Requires
Improvement
Responsive
Well-led
Requires
Requires
Improvement Improvement
We will publish this report on our website on the shortly.
When we have published this report you can see the contents and download a PDF
version by clicking on this link:
www.cqc.org.uk/directory/ 1-138786736
Once published, you can see this at any time by following these steps:

Go to the CQC website www.cqc.org.uk.

Click the appropriate tab for your type of service.

Type in the name of your provider or location – if it appears automatically, click on it
to jump to your profile page or click the 'search' button.

Click on your location, your report will be on your profile page.
Under Regulation 10(3) of the Health and Social Care Act 2008 (Regulated Activities)
Regulations 2010, you must send us a written report of the action you are going to take
to meet the Health and Social Care Act 2008, associated regulations and any other
legislation we have identified you are in breach of.
If you have already sent us a report of action since our inspection about any of these
actions, you do not need to include them in your new report.
You must return the report of action to us by 27 April 2015
We have enclosed a template that you can use to write your report. It is important that
you cover all the points in the template.
We would prefer you to send your report to us by email to: [email protected]
If you are unable to do so, please post it to the address below.
Please include our reference number (INS1-1722886622) in any letter or email you
send with the report as it may cause a delay if you do not.
You should inform us in writing when you have completed the actions in your report and
can confirm you meet the Health and Social Care Act 2008. We will check to make sure
that you have taken action to meet this legislation and will report on our judgements.
20140923 900072 v2 00 ASC Final inspection report letter (with actions)
If you have any questions about this letter, you can contact our National Customer
Service Centre using the details below:
Telephone:
03000 616161
Email:
[email protected]
Write to:
CQC ASC Inspections
Citygate
Gallowgate
Newcastle upon Tyne
NE1 4PA
Yours sincerely,
Tom Rigby
Inspector, Adult Social Care
Enclosed:
 Final Report
 Report summary
Report on actions you plan to take to meet Health and Social Care Act
2008, its associated regulations, or any other relevant legislation.
Please see the covering letter for the date by when you must send your report to us and
where to send it. Failure to send a report may lead to enforcement action.
Account number
1-138786736
Our reference
INS1-1722886622
Location name
The Fountains Nursing Home
Regulated
activity(ies)
Regulated
activity(ies)
Regulation
Regulation 12 HSC(RA) Regulation 2014
Safe Care and Treatment
20140923 900072 v2 00 ASC Final inspection report letter (with actions)
How the regulation was not being met:
We found the arrangements in place at the home did not protect
people against the risks associated with cleanliness and infection
control
Please describe clearly the action you are going to take to meet the regulation and
what you intend to achieve
Lounge refurbishment on Victoria, purchase of new chairs and occasional tables for Victoria
Lounge, Corridor on Victoria to be redecorated, Empty rooms to be refurbished/decorated on
all units. Staff training to be updated as per training plan. Medication rooms to be deep
cleaned. Monitor cleaning schedules and ensure they are relevant.
Who is responsible for the action?
Registered Manager
How are you going to ensure that the improvements have been made and are
sustainable? What measures are going to put in place to check this?
Care plan audits to be reinstated and completed by Clinical Lead on nursing units and
general manager on residential units.
Complete audit checks on cleaning schedules and hand hygiene audits.
Management to ensure all staff attend training and if staff fail to attend after 2 opportunities
given, staff to not be rostered on shift.
Regular unit meetings to keep staff informed and updated.
Who is responsible?
Registered Manager
What resources (if any) are needed to implement the change(s) and are these
resources available?
The home currently sub-contracts out painting/decorating and maintenance services. The
Registered Manager needs to ensure that these services are available at all times to ensure
that on-going maintenance issues are addressed and standards upheld within the home.
Date actions will be completed:
On Going
How will people who use the service(s) be affected by you not meeting this regulation
until this date?
Completed by:
(please print name(s) in full)
Position(s):
Date:
Ann Watkinson
Registered Manager
27.04.2015
20140923 900072 v2 00 ASC Final inspection report letter (with actions)