Faversham House Nursing Home

Updated 15 December 2023

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

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Faversham House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Faversham House Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

This inspection was unannounced.

Inspection activity started on 13 November 2023 and ended on 23 November 2023. We visited the service on 13 and 16 November 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We gathered feedback from the local authority. 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 used all this information to plan our inspection.

During the inspection

We looked around the home and observed how staff interacted with people. We also observed the lunchtime meal. We spoke with 5 people who used the service and 2 relatives about their experience of the care. We emailed a further 2 relatives for their feedback. We spoke with the registered manager, 2 nurses and the holistic therapist. We emailed 5 care staff a short questionnaire for their feedback about the service. We reviewed a range of records. This included 3 people’s care records, medicine administration records and 2 staff recruitment files. A variety of other records relating to the management of the service were also considered as part of the inspection. These included audits, training and supervision records and checks of the equipment.

Updated 15 December 2023

About the service

Faversham House is a nursing home in the Urmston area of Trafford, Greater Manchester. Accommodation is provided in single and double rooms spread over 2 floors, with access to the upper floor provided by a passenger lift. Faversham House Nursing Home is registered to provide nursing and personal care for up to 20 people. At the time of our inspection there were 20 people living at the home.

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

People and relatives were complimentary about the service and were very happy with the care and support given at Faversham House Nursing Home. There were effective safeguarding systems in place. Staff understood how to recognise signs of abuse and were aware of their responsibility to raise concerns should they arise. There were enough suitably qualified staff working at the service to meet people's nursing and care needs and robust staff recruitment practices were in place. Medicines were stored, managed and administered safely. The home was clean and well-maintained and staff followed good infection control practices.

Staff had received appropriate training and supervision and nurses maintained their clinical skills. Staff were encouraged to take additional qualifications to enhance their roles. People were complimentary about the food and were provided with a balanced diet. People were helped to maintain their health, and referrals to specialist professionals for advice and support were made when required. 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 were supported by kind, caring staff who respected their privacy and dignity and helped them be as independent as they could. People were helped and encouraged to maintain relationships with family and friends and to engage in meaningful activities.

People were supported with care that was person-centred. Leaders were visible and experienced; they promoted a positive staff culture in the service which helped achieve good outcomes for people. Quality assurance systems ensured all aspects of the service were reviewed and checked regularly. There was a system for dealing with any complaints, although none had been received recently.

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 23 November 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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