Fleming House Care Home with Nursing

Fleming House Care Home with Nursing provides residential and nursing care for up to 55 individuals aged 65 and over, including those with dementia. This report from the Care Quality Commission (CQC) reflects an inspection visit in August 2019. The inspection aimed to assess the quality and safety of the care provided, focusing on five key areas: Safe, Effective, Caring, Responsive, and Well-led. Overall, the service is recognised for its commitment to person-centred care and creating a welcoming environment for its residents and their families.

Regarding safety, residents and their families consistently reported feeling secure within the home. Staff are well-trained in safeguarding and risk assessment, ensuring that potential hazards are identified and managed effectively. Recruitment processes are robust, and there are adequate staffing levels to meet residents' needs. While the home maintains high standards for medication management and infection control, a minor lapse in hand hygiene by an agency nurse was promptly addressed and rectified by management.

In terms of effectiveness, the care provided is designed around individual needs and preferences, with detailed care plans that include life histories and desired outcomes. Residents generally enjoy the food, though some feedback indicated a desire for more variety in dessert options. While mealtime support was generally good, a temporary shortfall in staffing in one dining area was immediately rectified. Staff receive comprehensive training and support, preparing them well for their roles, and the home collaborates effectively with external healthcare professionals.

The caring aspect of the service is highlighted by the positive relationships staff have built with residents. Staff demonstrate a deep understanding of individual preferences and treat everyone with kindness, compassion, and respect, maintaining their dignity throughout their care. A notable instance involved a staff member going the extra mile to ensure a resident's comfort and well-being. However, an instance of insensitive communication from an agency staff member was also identified and addressed.

The service excels in its responsiveness, with residents being actively involved in their care and having significant choice and control over their lives. The introduction of a new tea room has proven to be a popular social hub, and the existing on-site pub, The Fleming Arms, continues to be a cherished feature for residents. Staff are passionate about making a positive difference, and this dedication translates into residents living active lives with a strong sense of choice.

Finally, the service is well-led, with a clear commitment to community involvement and continuous improvement. Regular audits are conducted to monitor quality, and appropriate management structures are in place. The registered manager actively promotes community engagement, fostering a positive and supportive atmosphere within the home. The dedication of the staff team is evident in their enthusiasm and commitment to providing the best possible care.