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CQC report explained · a residential care home, run by Community Integrated Care ()

Festing Grove

47 Festing Grove, Southsea, PO4 9QB

Requires improvementpublished 30 December 2023, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
People were not always protected from abuse or avoidable harm. Risk assessments, incident reporting, medicines management, staffing for fire evacuation and infection control were not always reliable.
Effective?
Requires improvement
Consent and deprivation of liberty records were incomplete or not properly checked. Staff support and training were inconsistent, and important health instructions were not always recorded or shared.
Caring?
Good
This question was not inspected during this focused inspection, so no separate rating was given. Inspectors observed staff asking consent and offering choices, but also found some records used language that did not show dignity and respect.
Responsive?
Good
This question was not inspected during this focused inspection, so no separate rating was given. Inspectors found that support plans did not always contain enough detail about people's needs, goals and wishes.
Well-led?
Requires improvement
Quality checks did not identify the problems found by inspectors. Staff did not always feel supported or able to raise concerns, and there was no registered manager in post at the time of the inspection.
The latest report, explained

What inspectors found, December 2023

Festing Grove was rated Requires Improvement; inspectors found risks around safeguarding, medicines, care planning and management oversight.

This was an unannounced inspection on 5 and 6 November 2023. Three inspectors spoke with people, a relative, staff and health and social care professionals. They observed care and reviewed care plans, medicines records, staff files, incident records and management checks.

The home was not always safe. Risks were not always assessed or managed, safeguarding concerns were missed or not reported, and medicines procedures were not consistently followed. Staffing levels were briefly below the number needed for safe evacuation, and an unsafe assisted bath was still being used.

The inspection also found problems with consent paperwork, staff training and supervision, health information, nutrition monitoring and the condition of the property. The overall rating stayed at Requires Improvement, as did Safe, Effective and Well-led. Caring and Responsive were not separately inspected in this focused inspection.

What inspectors praised
  • Kind interactions

    Inspectors saw staff asking for consent, offering choices and explaining care tasks. Some people also showed signs that they felt safe and comfortable with staff.

    We observed staff respectfully asking consent, offering choices, and explaining practical care tasks throughout the inspection.from the report
  • People's community access

    People told inspectors about going to the seafront. This shows that some opportunities to go out were taking place.

    We get to go to the sea front, and I like [staff member's name]. They help me.from the report
  • Immediate action

    The manager took action during and after the inspection, including increasing staffing to the required level for evacuation and arranging risk assessments and care plan reviews.

    The provider responded immediately during and after the inspection by reflecting on concerns, undertaking risk assessments, reviewing support plans and seeking advice on fire safety.from the report
What inspectors were concerned about
  • Safeguarding failures

    serious

    Incidents of abuse or possible abuse were not always identified, followed up or reported to the local authority. People were also left alone in communal areas despite a known need for supervision.

    People were not always safeguarded from abuse and avoidable harm.from the report
  • Unsafe medicines practice

    serious

    Staff had not always been checked as competent to give medicines. Errors were not consistently reported or investigated, and records and guidance for medicines given when needed were incomplete.

    People had not always received their medicines in a safe way.from the report
  • Risks not managed

    serious

    Some people had not been assessed for safe use of the stairs. An assisted bath judged unsafe was still being used, and incident records did not always show what had been learned.

    For example, the assisted bath was deemed unsafe by a competent professional. However, the bath was still being used for peoplefrom the report
  • Consent and rights

    needs fixing

    Mental Capacity Act paperwork and checks on deprivation of liberty safeguards were not always in place. This created a risk that decisions were not made in people's best interests.

    People did not always have the necessary MCA paperwork in place.from the report
  • Weak management checks

    serious

    The home's monitoring systems failed to identify the shortfalls found during the inspection. Staff also said they did not always receive supervision or feel able to raise concerns.

    Quality assurance systems did not operate effectively. Monitoring had not identified the shortfalls found within the inspection.from the report
  • Staffing and support

    needs fixing

    Induction reviews, competency checks, team meetings and supervision had not always happened as planned. There was no registered manager in post at the time of the inspection.

    At the time of our inspection there was not a registered manager in post.from the report
Questions to ask them, based on this report
  1. 01What has changed to make sure all safeguarding incidents are identified, recorded, investigated and reported to the local authority?
  2. 02How are medicines now checked, including staff competency, stock checks, errors and medicines given when needed?
  3. 03Have every person's risks, including use of the stairs and assisted bathing, been assessed and added to their care plan?
  4. 04How are Mental Capacity Act and deprivation of liberty records checked to make sure decisions are lawful and in people's best interests?
  5. 05Who is currently responsible for the home, and how often do staff receive supervision and quality checks?

This was a focused inspection of Safe and Well-led, widened to include Effective after a consent concern; Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 30 December 2023 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.

The story over the years

Every inspection of Festing Grove

4 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.

  1. December 2023Requires improvementcurrent ratingstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Festing Grove

  2. March 2022Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. November 2019Goodstayed Good
    Safe: GoodEffective: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 20 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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