Updated 13 May 2021
The inspection
This was a targeted inspection to check on specific concerns we had about staffing levels, activities and the overall management of the home. We will assess all of the key questions at the next comprehensive inspection of the service.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Falstone Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager had recently moved to a regional role but was still overseeing the home from a regional perspective. The manager in situ was overseeing the day to day running of the home and planned to submit an application to become the registered manager.
Notice of inspection
We gave a short period of notice on the morning of the inspection to ascertain the current status of the home in relation to any COVID-19 infections and to ensure the inspection could go ahead safely.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We also contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with eight people and one relative about their experience of the care provided. We spoke with the manager, the wellbeing co-ordinator and a care assistant during the inspection. We reviewed a range of records. This included two people’s care records and risk assessments. We looked at staff rotas and records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at policies, quality assurance records, staff rotas and risk assessments.