Fairland House

Updated 8 September 2022

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 Health and Social Care Act 2008.

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 undertaken by one inspector, one inspection manager and a specialist medicine inspector.

Service and service type

Fairland House is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Fairland House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 20 July 2022 and ended on 02 August 2022 when final inspection feedback provided. We visited the service on 20 July 2022.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed the information we had received about the service since the last inspection, including notifications the service is required to send us by law. We also reviewed information from the local authority. We used information gathered as part of DMA monitoring activity that took place on 20 May 2022 to help plan the inspection and inform our judgments.

During the inspection

During the inspection we spoke with eight staff, including the registered manager, deputy manager, care staff, domestic and kitchen staff. We also spoke to five people using the service and two relatives. We reviewed four care records and multiple medicine administration records (MAR). We looked at two staff files in relation to recruitment. We also reviewed other records, including policies and procedures, relating to the safety and quality of the service.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We continued to seek clarification from the registered manager after the inspection visit to validate evidence

found.

Updated 8 September 2022

About the service

Fairland House is a residential care home, providing personal care and support for people over 65. The service can support up to 34 people. At the time of our inspection there were 29 people using the service.

Fairland House is an adapted building split across two floors, with access via a lift or a staircase. All rooms have en-suite bathroom and shared facilities. The service benefits from large secure gardens for people to use.

People’s experience of using this service and what we found

The care environment was visibly clean, although some areas of the home were tired and required modernisation, the service had a development plan in place for improvements to the environment.

Some aspects of medicines management required improvement. These had been addressed by the time we gave feedback at the end of the inspection.

Daily records were not kept up to date and this had not been identified by quality monitoring processes.

Staff were not always clear on their role, people felt there could be more staff to support them.

New online quality monitoring systems were in place providing oversight of the service, however these require further embedding and development to ensure effective monitoring of the service.

Safeguarding procedures were in place, and staff had received training to protect people from abuse. Action had been taken to learn from incidents that had occurred to reduce the risks of reoccurrence.

People were involved in planning and reviewing their support needs. Care plans were shaped around people's preferences and support needs. This included positive risk taking.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (Published 29 February 2020)

Why we inspected

We undertook this inspection as part of a random selection of services which have had a recent Direct Monitoring Approach (DMA) assessment where no further action was needed to seek assurance about this decision and to identify learning about the DMA process.

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.

Recommendations

We have made a recommendation in regard to the quality assurance monitoring systems.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.