Fairburn

Updated 25 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.

The inspection was carried out by one adult social care Inspector. The inspection took place on 27 November 2018. We last visited the service in October 2016 and found no breaches of regulations.

We used a variety of methods to obtain feedback from those with knowledge and experience of the service.

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they planned to make.

We reviewed the information included in the PIR along with information we held about the service. This included notifications, which are information about important events that the service is required to send us by law.

We contacted the local community learning disability team, and other health and social care professionals involved in supporting people who use the service. We asked them for some feedback about the service. You can see what they told us in the main body of the report.

During the inspection, we talked with four people using the service, a relative, three members of staff and the registered manager. We contacted a further five relatives and a person who used the service by telephone to gain their views. You can see what they told us in the main body of the report.

We looked at the care records of three people, and other records relating to the management of the service. This included how the provider monitored the quality of the service.

Updated 25 December 2018

This was an unannounced inspection, which meant the staff and the provider did not know we would be visiting. The inspection was carried out by one inspector on the 27 November 2018.

Fairburn provides short breaks to people with a learning disability. The service is registered to provide accommodation, nursing and personal care for seven people. Presently 42 people access the service for short breaks throughout the year. The service is jointly commissioned by Bristol City Council and South Gloucestershire Council.

People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in 2016 we rated the service good. At this inspection we found the evidence

continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good.

People received the care that had been commissioned by the local authorities. Relatives commended the service in relation to the planning, flexibility and delivery of care. Relatives told us they usually got the dates they requested and they knew in advance when their relative would be staying at Fairburn. The service also responded to emergencies such as ill health of the main carer.

People received a safe service. Staff ensured that people got on well and they were compatible with each other. Risks had been assessed and safe systems of work were in place to ensure people’s safety whilst not curtailing their independence. Staff had been through a thorough recruitment process to ensure they were suitable to work at Fairburn.

People were receiving care that was responsive and effective and tailored to their needs. Care plans were in place that clearly described how each person would like to be supported. People had been consulted about their care and support. The care plans provided staff with information to support the person effectively. Other health and social professionals were involved in the care of the people and there was very much joint working with them and family. Safe systems were in place to ensure that people received their medicines as prescribed.

People were supported by suitable numbers of staff, with the right skills and knowledge. Staff had received training and were supported in their roles. They regularly received supervision and team meetings were organised monthly.

People were valued and supported to be as independent as possible. People’s rights were upheld, consent was always sought before any support was given. Staff were aware of the legislation that ensured people were protected in respect of decision making and any restrictions and how this impacted on their day to day roles.

People were provided with nutritious food and drink, which met their dietary preferences and requirements. People were supported to eat a healthy diet of their choice.

People were provided with a safe, effective, caring and responsive service that was well led. The organisation’s values and philosophy were clearly explained to staff and there was a positive culture where people were included and their views sought. The registered provider was aware of the importance of reviewing the quality of the service and was aware of the improvements that were needed to enhance the service.