24 July 2014
During a routine inspection
We carried out this unannounced inspection under Section 60 of the Health and Social Care Act 2008 on 24th July 2014 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by the Care Quality Commission (CQC) which looks at the overall quality of the service. The provider was compliant with all the areas we reviewed at our last inspection on 10 July 2013.
The Fountains Care Centre is a home registered to provide accommodation and support with nursing and personal care for 62 people. At the time of this inspection 53 people were living at the home. The home is located in the London Borough of Havering, in a residential area and has car parking for visitors. Accommodation is on two floors and there are two passenger lifts.
Mental capacity assessments and best interest meetings were in place where required for people who were unable to make decisions for themselves. The Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS) is law protecting people who do not have mental capacity, which means they may not be able to make some decisions for themselves.
People's care plans contained information about their needs, goals, and the support staff had to provide to meet their needs. We saw these had been followed up and people had care and support that reflected their needs. The care plans had been regularly reviewed and signed by care staff. This allowed staff to identify changes in people’s needs and put an action plan that appropriately reflected their new needs.
People's care plans showed their individual health care needs were addressed. Each person was registered with a GP and we noted the GP visited every week. People who used the service and, where appropriate, their relatives were involved in the review of people's care plans. All the care staff we spoke with demonstrated a good understanding of people's care and support needs.
The home was clean and tidy during our visit. People and visitors told us the home was clean. One person said, "The cleaner comes in every day." The home had a full-time maintenance person who made sure that the facilities and equipment were maintained. The home was managed by an acting manager who had submitted an application form to CQC to be a registered manager. A registered manager is a person who has registered with CQC to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider. The acting manager was supported by a deputy manager. People who used the service, visitors and staff told us the acting manager promoted a positive and motivating culture that was transparent and inclusive.