Fletcher House

People spoken with said they felt safe at Fletcher House and with the staff who supported them in a kind and caring manner. Staff knew how to recognise and report abuse and told us they had received safeguarding training. Improvements were needed to ensure care plans and risk assessments had sufficient information and guidance for staff. The provider had identified this and were working to improve care records. Staff were working with people and relatives to be more involved in developing and reviewing their care plans. Staff had a person centred approach to medicines. There were policies and procedures in place covering all aspects of medicines optimisation. Care plans did not always contain adequate detail to enable staff to manage people’s medicines associated risks, however when we spoke to staff they were aware of these risks. We received mixed feedback about staffing levels, although people felt this was improving. On the day of our visit, we observed there were enough staff available to respond to people’s needs. There was a safe recruitment process in place. Agency staff had a range of checks in place to ensure they had the right skills to undertake their role. Staff had not always received the training required. The provider had identified this as an area for improvement and had an action plan in place to address the shortfall. Staff said they felt supported and gave positive feedback regarding management. People and relatives told us the home was clean and staff wore personal protective equipment (PPE). All areas of the home looked clean and smelt fresh. Staff told us they had received infection control training. Mental capacity assessments, best interest decisions and deprivation of liberty safeguards were not always in place where needed. The provider had identified this and were in the process of completing these. There were processes in place to learn from accidents, incidents, or safeguarding concerns.