The inspection took place on 8 and 9 December 2015 and was unannounced.
The last inspection of the service was 17 July 2014 where we found there were no breaches of Regulation.
Franklin House is a nursing home for up to 66 older people managed by Care UK Community Partnerships Limited. At the time of the inspection 63 people were living at the service. Some people were living with dementia, others had general nursing needs and some people were being cared for at the end of their lives.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
We found one breach of the Regulations. We witnessed a number of interactions where the staff did not treat people with respect. However, the majority of staff were kind and caring towards people. People living at the home and their visitors told us the staff were caring and they had positive relationships with them.
People’s privacy was respected.
Risks to people’s well-being were identified, assessed and managed.
There were appropriate procedures to keep people safe and the staff were aware of these.
People received their medicines in a safe way which met their needs.
There were enough staff employed and the procedures to recruit them were suitable.
The environment was safely maintained and clean.
People’s capacity to make decisions had been assessed and their consent to care and treatment was recorded.
The staff had the training and support they needed to care for people and meet their needs.
The environment had been adapted to include features which added interest and helped orientate the people living there.
People’s healthcare needs had been assessed, monitored and met.
People were offered a variety of freshly prepared food. Their individual nutritional needs had been assessed and care was provided to meet these.
People’s privacy was respected.
People’s care was assessed and planned to meet their individual needs.
There was a programme of organised social activities and resources available for people to entertain themselves if they wished to use these.
There was an appropriate complaints procedure and people felt able to raise concerns.
People living at the home and the staff felt there was a positive culture at the home. They found the manager approachable.
People were given opportunities to contribute their views to the way in which the service was run.
There was an effective system of audits and monitoring to ensure people’s needs were safely met, risks were managed and the service was continuingly improving.
You can see what action we told the provider to take at the back of the full version of the report.