Fleming House Care Home with Nursing

Staff knew people well and were responsive to people's needs. People were able to choose what activities they took part in and suggest other activities they would like to complete. The impact this had on people was outstanding and had resulted in people living an active life with choice evident throughout.

The service had introduced a tea room which was a popular meeting place throughout the day. People told us it was a great addition to the home and enjoyed get togethers held in the venue.

The Fleming Arms pub remained a popular destination and we observed many people enjoying themselves throughout the inspection and looked forward to planned events in the pub.

Staff were passionate about making a difference to people's lives and had raised funds for improvements to the service and enjoyed working at the service.

People received excellent care that was based around their individual needs and that ensured care was personalised and responsive.

People were cared for by a motivated and well-trained staff team, who always put people first. Staff received regular support and received regular one to one sessions of supervision to discuss areas of development. Staff informed us they completed a wide range of training and felt it supported them in their job role. New staff completed an induction programme before being permitted to work unsupervised.

Staff had developed positive and caring relationships with people and their families. Staff were highly motivated and demonstrated a commitment to providing the best quality care to people in an individualised and compassionate way. People's privacy and dignity was always maintained.

People received outstanding end of life care by a team of staff that were passionate about providing high quality care during people's final stages.

Relevant recruitment checks were conducted before staff started working at the service to make sure they

were of good character and had the necessary skills. Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.

The registered manager developed and promoted community involvement within the home. In the summer the home involved the national citizenship scheme which involved local children tidying the garden.

People were supported with their nutritional needs when required. People received varied meals including a choice of fresh food and drinks. Staff were aware of people's likes and dislikes

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Regular audits of the service were carried out to assess and monitor the quality of the service. There were appropriate management arrangements in place.