Background to this inspection
Updated
9 November 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was completed by two inspectors.
Service and service type
Fairhaven Care Home is a ‘care home’. 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 service did not have a manager registered with the Care Quality Commission at the time of the inspection. A manager had been appointed and had started the application to become registered. Throughout this report we refer to this person as the manager.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all this information to plan our inspection.
During the inspection
We spoke with five people who used the service and one relative about their experience of the care provided. We spoke with 11 members of staff, including a representative of the provider, the health and safety manager, the manager, a housekeeper, the activities coordinator, senior care staff and care staff. We also spoke with one social care professional.
We reviewed the safety of the environment, medicine processes, looked at records relating to staff recruitment, infection control processes and observed interactions between staff and people.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records and five people’s care records in detail. We received feedback from two health and social care professionals who had recent involvement with the service and four relatives of people living at Fairhaven Care Home.
Updated
9 November 2021
About the service
Fairhaven Care Home is a care home which accommodates up to 21 people in one adapted building. Fairhaven Care Home is registered to provide accommodation and personal care for adults with dementia or physical health and support needs. At the time of the inspection there were 19 people living at the service.
People’s experience of using this service and what we found
People were happy living at Fairhaven Care Home and spoke very positively about the care they received.
Recruitment practices were effective and there were sufficient numbers of staff available to meet people's needs in a safe and unhurried way. People were protected from avoidable harm and individual, environmental and infection control risks were managed appropriately.
People received their prescribed medicines as required. There were safe arrangements in place for obtaining, storing and disposing of medicines.
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.
People's care plans and risk assessments contained detailed information about them and their care and support needs. This helped to ensure staff delivered care that was individual to each person.
The service had a positive person-centred culture. Both people and staff told us the management team were approachable. The service worked in partnership with other agencies to aid joined up, person centred care provision.
Effective quality assurance systems had been developed and implemented to continually assess, monitor and improve the quality of care people received.
The management team were open, approachable and supportive. Everyone was confident they would take action to address any concerns promptly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 16 March 2021).
Why we inspected
This was a planned inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect it. Ratings from previous comprehensive inspections for these key questions were used in calculating the overall rating at this inspection. Please see the safe and well led sections of this report.
The overall rating for the service has not changed and remains Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Fairhaven Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.