Far Fillimore Rest Home

Inspectors found that medicines were stored and given safely. Records matched the stock checked, and people said they received medicines as prescribed.

“People were supported to receive their medicines safely.” from the report

The home was visibly clean, cleaning schedules were in place and staff followed infection control procedures using protective equipment. There was still a strong smell in one area.

“The home was visibly clean, and we saw cleaning schedules in place.” from the report

People said they could choose when to get up and go to bed. Staff knew people's likes and dislikes, and the home supported people within the principles of the Mental Capacity Act.

“The registered manager and staff knew people well and knew their likes and dislikes.” from the report

Two people had unexplained bruising. One person said staff had caused the bruising, but the incident and bruising were not referred to the local authority for investigation.

“People were not always safeguarded from abuse and avoidable harm.” from the report

Staff did not always follow risk assessments. Falls and sensor mat problems were not consistently investigated or used to reduce the risk of further harm.

“Staff did not always follow people's individual risk assessments.” from the report

The agreed staffing levels were not shown to be based on people's assessed needs. Inspectors found that a lack of staff was putting people at risk, particularly people who walked around or were at risk of falling.

“The lack of staff deployed throughout the home was putting people at risk of harm.” from the report

Window restrictors on the top floor did not meet health and safety guidance and created a risk of falls from height. New restrictors were fitted the following day.

“We noted that the window restrictors, on the top floor of the home were not meeting health and safety guidance.” from the report

Audits did not identify the safety problems found by inspectors. Falls, staffing and equipment problems were not analysed well enough to prevent repeat risks.

“Quality assurance systems had failed to identify the areas of concern we highlighted during our inspection.” from the report

Although the home was clean, inspectors found a strong smell in the ground floor bedroom area and recommended action to neutralise it.

“However, we noted a strong malodor in the ground floor bedroom area.” from the report