Fauld House Nursing Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People’s care needs were assessed and planned for. People were put at the centre of their care. People were involved in the planning of their care and support provided was equitable and inclusive. People were able to make plans for important life changes and there were positive changes being made so people were in receipt of the best care possible at the end of their lives.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they spoke regularly with staff about their care needs and any changes needed. Records reflected the person centred care people received, however some people did say they would like to be involved with compiling the written information for their care planning records. We spoke with the registered manager who told us about future plans they had to actively involve people through the review process. People received care that was tailored specifically to meet their needs, wishes and preferences.

The registered manager informed us about plans to ensure people were always fully involved in the end to end care planning process. People's views were collated during the review process but not always engaged in the compiling of care plans. The registered manager said, "We will be seeking people's feedback about how involved they want to be and see if anyone would like support in writing their own care plans." Staff told us how they supported people with their needs in line with what people told them and from the information within the care plan documentation.

Throughout the inspection, staff were seen to be fully engaging with people, consistently listening and responding to people's requests. Staff were seen to be supporting people with activities which were meaningful to them.

People's needs were assessed prior to living at Fauld House. This meant the most up to date information about people's needs had been considered by all involved in their care.

Staff were responsive and worked flexibly to meet people's needs and considered people's protected characteristics. The management team liaised with people, their relatives, staff and other professionals to ensure care was coordinated and delivered in a way which was meaningful for people in line with their wishes.

Professionals working alongside people and staff at Fauld House spoke positively about the service. One professional said, "When care home staff contact us about people, they are always clear and provide a specific rationale for their contact. We work well with the care home and do appropriately challenge each other to promote good outcomes for people."

Records were reviewed regularly to ensure changes in people's needs were followed up and actioned as needed.

Some of the people we spoke with could not recall meetings being held to review and discuss their care needs, but people were clear they spoke regularly with care staff and managers as needed informally. Information was provided in a clear way, in which people could easily understand.

The registered manager evidenced how they were meeting the Accessible Information Standard (AIS). The AIS directs and defines a specific, consistent approach to identifying, recording, flagging, sharing and meeting the information and communication needs of people with a disability or a sensory loss. The registered manager said, "It applies across the whole of the service. We provide information in different formats if needed, or use assistive technology. Staff are also asked about specific needs. For example, all our on-line training is subtitled."

The systems and mechanisms in place to support best practice for providing information were effective and ensured people received information in a way which was accurate, up to date and in a way people understood. Records contained details about people's specific communication preferences. Minutes of meetings were available for people after meetings and forums for feedback had been held.

People had the mechanisms to feedback their views and thoughts about the service. Some people said they had meetings, but other people said they did not. We saw minutes of meetings which had been held involving people and people told us they could speak to anyone at any time.

The registered manager kept records of complaints and dealt with these in line with the provider’s policy. Records of compliments were also kept and used for some staff as evidence as their continued professional development.

Processes in place were effective, underpinned, and supported the good practice in relation to listening and involving people.

People told us they were treated equally and treated as individuals. One person told us, “Everyone is treated fairly.”

Staff were respectful of people's diverse needs and treated everyone in a fair and equitable way. The registered manager made reasonable adjustments for people as needed and gave us examples of how they supported people.

Professionals supporting people living at Fauld House felt assured people received care which was delivered in an inclusive way.

When reasonable adjustments were made, the processes in place supported this practice.

People we spoke with did not express any issues or concerns around inequality in experiences or outcomes. This was due to the effective way care was tailored to meet people's individual needs.

The management team and staff had been trained to support people with diverse needs and understood the importance of meeting the needs of people with protected characteristics. When people's needs changed, equity of access was considered. Staff told us they were able to speak up and challenge discriminatory practices.

There were systems in place to ensure people had access to care, treatment and support as the registered manager complied with legal equality human rights requirements.

People were able to make informed choices about their care and some people had actively planned their future care needs and wishes.

Staff gave us examples as to how they had supported people with making decisions and choices about their care needs. The management team were in the process of accreditation for the Gold Standards Framework (GSF). The GSF is a practical and evidence based end of life care service improvement programme. The deputy manager had many initiatives in place to support people at the end of their lives and was passionate about continually improving practices.

Staff had received the appropriate training to support people at the end of their lives and people’s care plans included information about their end-of-life preferences. People had ReSPECT (Recommended Summary Plan for Emergency Care and Treatment) forms in place where required. As part of the on-going work to support the accreditation of the GSF, the management team worked alongside health professionals such as GP's and hospice staff to improve end of life outcomes.