Florfield Home

Inspectors saw warm, respectful care. People appeared to trust staff, and relatives described the atmosphere positively.

“Staff treated people with genuine kindness and respect.” from the report

There were enough staff to support daily care and activities. Recruitment was carried out safely, and staff received the training needed for their roles.

“The provider ensured there were sufficient numbers of suitable staff.” from the report

Staff supported people to access healthcare and provided support with complex health, nutrition and hydration needs.

“People had complex health needs and staff supported them to access healthcare services as they needed them.” from the report

Staff offered choices, respected people's decisions and supported them in the least restrictive way. People's privacy and dignity were respected.

“We saw staff offered people choices and responded to people's subtle communication to ensure they were supporting them in a way they wanted.” from the report

The home was clean and tidy. Minor maintenance problems affecting cleaning were fixed after inspectors raised them.

“Florfield home was clean and there were systems in place to ensure the home remained clean and a safe environment for people.” from the report

Medicines plans did not give staff enough personalised information, including doses and timings. This created a risk that medicines might not be managed safely.

“The information available to staff about how to support people with their medicines was not sufficient.” from the report

Some risk assessments lacked detail or had not been updated after changes. Staff sometimes relied on verbal instructions from experienced colleagues.

“Risk assessments lacked detail of the nature of the risk and the specific actions staff should take to support people to be safe.” from the report

People did not always receive activities linked to their interests. One person's records showed only one music group visit in a month and no bowling trips.

“People were not always supported to follow their interests or take part in activities that were relevant to them.” from the report

Staff involved relatives where appropriate but did not involve people themselves enough when reviewing care plans. Information was also not always provided in a form people could use.

“However, staff did not involve people in reviewing and updating their care plans so their views about their care were not always considered.” from the report

Audits and quality checks had not found several problems identified during the inspection. This led to a breach of the good governance regulation.

“The provider's system did not always effectively monitor the quality of care provided to drive improvements.” from the report

People did not have plans recording their wishes if they became seriously unwell. The manager said meetings would be arranged to develop these plans.

“People did not have plans in place to reflect their wishes in the event that they became seriously unwell.” from the report