23 April 2019
During a routine inspection
Fairfield House is a nursing home. The care home accommodates up to 16 people. There were 16 people living at the home at the time of our inspection. The home is a detached building with rooms arranged over two floors and a ground floor lounge and dining area. There is lift access to the first floor. People are able to access secure outside space at the home. The majority of people living at the service had dementia or mental health diagnoses. Most people were unable to speak with us to tell us about living at the home, so we gathered this information from relatives and through observation.
People’s experience of using this service:
People felt safe and happy living at Fairfield House. Staff understood how to keep people safe from harm or abuse and understood their responsibility to raise concerns if they were to witness poor or abusive practice.
People were supported by staff who demonstrated a good understanding of how to meet their individual needs and preferences. People’s desired outcomes were known, and staff worked alongside people, health and social care professionals and, where appropriate, their relatives to help them achieve these. People and relatives expressed confidence in the skills and competence of staff at the home.
People were supported and encouraged to maintain contact with those important to them including family, friends and other people living at the home. Staff interacted with people in a kind and caring way with respectful language used at all times. Staff had got to know people well which supported mutually beneficial interactions and responsive care.
The new registered manager of the home had settled in well and, with the owner, had helped develop a cohesive and happy staff team. People, relatives and staff spoke positively about the way the management had improved the atmosphere of the home and the service people received. People and their relatives felt consulted and involved.
Improved auditing had provided greater managerial oversight. This helped ensure that practice standards were maintained and improved. Good working relationships with health and social professionals were helping to keep people living well.
Rating at last inspection:
At our last inspection we rated the home Requires Improvement (published 17/05/2018) as we found shortfalls in quality assurance, mental capacity assessments, systems used to monitor role specific training and the language staff used when talking about and interacting with people.
At this inspection we found the shortfalls had been addressed and the rating had improved.
Why we inspected:
This inspection was a scheduled inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk