Fern Hill House Care Home

The management of risks to people's health, safety and wellbeing had improved. However, we found areas that could be improved further to ensure staff were provided with guidance about how to provide care in a safe way. Accident and incident management had improved, and lessons were learnt from any incidents. Staff had been provided with the provider's mandatory safety training. Training and supervision sessions were used to ensure learning and improvements took place. The manager and staff were clear about when to report incidents and safeguarding concerns to other agencies. Relatives had no concerns about the safety of their family members. We observed good interactions between staff and people.

People's medicines were managed and stored safely, and records were clear. However, improvements were needed in relation to recording the application of creams, medicines for disposal and keeping records of medicines ordered. We were assured the provider was preventing visitors from catching and spreading infections and there had been no COVID-19 outbreaks in the home. The service was clean and odour free. During the inspection, the cleaning schedules were reviewed to ensure staff were following safe guidance.

Staff were recruited safely, and records showed there were consistent numbers of staff available to meet people's needs. Relatives made positive comments about the care and support provided by staff particularly during the pandemic. New care planning records reflected people's choices and considered people's diverse needs. People looked settled and happy and we observed them being treated with care and respect. People's views and opinions were sought through day to day discussions and surveys; resident meetings were due to recommence. Relatives confirmed they had been kept up to date and involved in any changes and decisions.

The manager and provider understood their responsibility to be open and honest when something went wrong. Staff said the manager was approachable. The manager and staff worked in partnership with a range of professionals to ensure people received the care and support they needed. The manager was supported

by the management team and had enrolled on training to support him with the role. Staff told us they were supported and enjoyed working at the service. Staff and relatives made positive comments about the manager's contribution to improvement and ongoing communication.