Background to this inspection
Updated
7 August 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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 19 June 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location was a small care home for adults who were not accustomed to having strangers enter their home. We needed to be sure that we would not cause them any unnecessary distress. The inspection team consisted of two inspectors.
Before the inspection the provider completed 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 plan to make. We reviewed the information included in the PIR along with information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.
We observed people receiving care and support at SeeAbility Fairways. We also spoke with the registered manager, volunteer coordinator and fundraiser, the deputy manager, two members of staff and one professional. We reviewed records which included four people's care plans, four staff recruitment files and supervision records and records relating to the management of the service. We also reviewed records relating to staffing levels and training, risk assessments, quality assurance and policies and procedures.
Updated
7 August 2018
This inspection took place on 19 June 2018 and was announced.
Fairways Residential care home is registered to provide accommodation for up to six people with sight loss and multiple disabilities. At the time of the inspection there were six people living in the home with visual impairments, moderate to severe learning disabilities and hearing difficulties. Some people had very limited verbal communication skills and staff supported them to access activities in the community. 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.
At this inspection we found the evidence supported a rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.
The service had a registered manager. A registered manager is a person who has registered with the CQC 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.
Staff were aware of the actions to take if they suspected harm or abuse and had received the necessary safeguarding training which was updated regularly. The registered manager ensured that sufficient staff were deployed to keep people safe and meet their needs.
There were safe recruitment processes in place to make sure the provider only employed staff who were suitable to work in a care setting. People were protected from risks to their safety and wellbeing. Risks to people were assessed and recorded in their care plans. Records showed that risks were assessed and managed safely.
People’s medicines were stored, recorded and administered safely by trained staff who had their competency regularly assessed.
People received care from appropriately skilled, knowledgeable and trained staff who received regular supervision to help develop their knowledge. Processes and equipment were in place to protect people from the risk of acquiring an infection.
The registered manager recorded accidents and incidents and supported staff to reflect on these to prevent reoccurrences.
Staff were aware of the legal protections in place to protect people who lacked mental capacity to make decisions about their care and support and implemented them in their practice.
People were supported to maintain a balanced diet. Staff encouraged them to choose meals which they prepared for them.
People had access to care from relevant health and social care professionals.
Staff had developed caring relationships with the people they supported. Staff encouraged people to express themselves and promoted their independence, privacy and dignity. Care plans accurately reflected the care and support people needed and were written in partnership with people and their families where appropriate. They were regularly reviewed.
The provider had processes in place for investigating and responding to complaints and concerns. A complaints policy was available to people in an easy read format.
People who lived in the home were not receiving end of life care, however, staff had held sensitive discussions with people about what they would like to happen as they approached the end of their lives and after they passed away where it was appropriate to do so.
Robust systems were in place for monitoring the quality within the service to drive improvements.
Staff worked effectively in partnership with health and social care professionals to meet people’s needs.