Falcon House Care Home

“Records showed the management team had not always investigated incidents thoroughly to ensure people were protected and kept safe. We raised this with the management team to address.”

“The manager ensured information on incidents and accidents was shared with the CQC and relevant partner agencies as required.”

“The provider and management team had a service improvement plan in place, to address the previous lack of oversight and quality monitoring in place at the service. The service had taken steps to improve quality and more time was needed to fully embed new processes. We will review the actions taken by the provider at our next assessment.”

“The staff team were not all equipped with the right skills and qualifications. The management team responded promptly to this, and ensured required training was booked where there were shortfalls.”

“Improvements had been made to the management of medicines within the service. The management team had worked with the Nottinghamshire Integrated Care Board, Medicines Management Team and their Local Authority commissioners to improve their practice.”

“The management team had taken measures to improve how staff raised concerns and how leaders acted to improve the service. Since our last assessment, there had been significant changes in the management structure and staffing. This had given people and staff more confidence to raise concerns.”

“People and their relatives were not always fully involved in assessments of their needs. Care plans and risk assessments had not been promptly updated, to take account of changes in people’s care and health needs. People’s health was not always effectively monitored to support healthy living. The implementation of a new electronic care planning system showed evidence the service was working towards embedding improvements. This included review of all care plans and records, ensuring the involvement of people and their relatives.”

“People were supported to eat and drink to stay healthy. However, the records of their daily intake required improvement to ensure holistic care to maintain good health.”

“People were treated with kindness and compassion by staff, who responded to people in a timely way when people used their call bells or expressed distress.”

“Leaders were improving the culture within the service, based on listening, learning and trust. Staff felt more confident now, in giving feedback and feeling free from bullying or harassment. The manager supported staff wellbeing and development.”

“The provider and management team showed a willingness to work with external health and social care partners, to ensure care quality at the service was improved.”

“At our previous assessment, we found the provider was in breach of regulations related to safe care and treatment, safeguarding, person centred care and governance.”

“At this assessment, we found improvements had been made in relation to safe care and treatment, safeguarding and person centred care. The provider remained in breach of regulation relating to good governance, as some of the processes were not fully embedded. We will request an action plan from the provider.”