# Fessey House

*Operated by Swindon Borough Council.*

Fessey House is a CQC-regulated home-care agency in Swindon.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Outstanding |
| Responsive | Good |
| Well-led | Good |

Rating published: 08/05/2019

## Practical info

- Postcode: SN25 1RY
- Registered manager: Black, Sharron
- Local authority: Swindon
- Region: South West
- City: Swindon
- Last CQC check: 08/May/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2021-10-30
- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Clean environment with good infection control practices observed
  - Published: 2021-10-30
- Finding
  - Evidence: Complaints handled effectively in line with provider policy
  - Published: 2021-10-30
- Finding
  - Evidence: Discharge to Assess model reduced average stays from 55 to 23 days, promoting independence and timely hospital discharge
  - Published: 2021-10-30
- Finding
  - Evidence: Strong, open and approachable management team with a clear vision for service development
  - Published: 2021-10-30
- Finding
  - Evidence: DoLS appropriately applied for and authorised
  - Published: 2021-10-30
- Finding
  - Evidence: People's dignity, privacy and diverse needs were respected
  - Published: 2021-10-30
- Finding
  - Evidence: Staff demonstrated warmth and caring interactions; people and relatives consistently praised staff
  - Published: 2021-10-30
- Finding
  - Evidence: Care plans were complete, regularly reviewed and gave clear guidance to staff
  - Published: 2021-10-30
- Finding
  - Evidence: People received timely access to healthcare services
  - Published: 2021-10-30
- Finding
  - Evidence: Safe recruitment practices including DBS checks and references
  - Published: 2021-10-30
- Finding
  - Evidence: Sufficient staffing levels with low staff turnover resulting in an experienced team who knew people well
  - Published: 2021-10-30
- Finding
  - Evidence: Excellent multidisciplinary working with social workers, mental health team, occupational therapists, physiotherapists, district nurses and GPs
  - Published: 2021-10-30
- **consent_capacity** _(minor)_
  - Evidence: Staff did not always complete written capacity assessments or document best interest decisions.
  - Published: 2021-10-30
- **governance** _(moderate)_
  - Evidence: medicines audits contained a 'check competencies' section, which was always recorded as being 'complete'. However, staff who had made medicine errors had not always had their competencies reassessed.
  - Published: 2021-10-30
- **incident_learning** _(moderate)_
  - Evidence: information was not effectively collated to allow effective identification of trends. This could mean that causes of accidents would not be known and addressed to prevent further occurrences.
  - Published: 2021-10-30
- **record_keeping** _(moderate)_
  - Evidence: daily records did not always include these details...one person's daily record contained the entry, 'Lower body care cream applied'. This person was prescribed three different topical medicines.
  - Published: 2021-10-30
- **medication_management** _(moderate)_
  - Evidence: the temperature in the medication room frequently exceeded the maximum temperature for safe medicines storage
  - Published: 2021-10-30
- **medication_management** _(critical)_
  - Evidence: Thickening agents were not stored securely...kept in an unlocked kitchen cupboard...people could access the thickening agent
  - Published: 2021-10-30
- **medication_management** _(critical)_
  - Evidence: a member of staff had made five errors between October 2016 and November 2017, and had continued to administer medications with no additional training or competency assessments
  - Published: 2021-10-30
- **medication_management** _(critical)_
  - Evidence: on four occasions in November 2017, as required (PRN) medicines prescribed to treat pain, were not administered to a person requiring them due to an absence of suitably trained staff
  - Published: 2021-10-30

### responsive

- Finding
  - End of life care and support
  - Published: 2021-10-30
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2021-10-30
- Finding
  - Planning personalised care to meet people's needs, preferences, interests and give them choice and control
  - Published: 2021-10-30

### well_led

- Finding
  - Working in partnership with others
  - Published: 2021-10-30
- Finding
  - Continuous learning and improving care
  - Published: 2021-10-30
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2021-10-30
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2021-10-30
- Finding
  - Planning and promoting person-centred, high-quality care and openness; duty of candour
  - Published: 2021-10-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2929241444

HomeCare Compass is an independent guide and is not affiliated with the CQC.