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Fairlight Nursing Home Requires improvement

We are carrying out a review of quality at Fairlight Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 January 2021

About the service

Fairlight Nursing Home is situated in Rustington, West Sussex. It is a residential ‘care home’ providing care for up to 62 people who may be living with dementia, physical disabilities, older age or frailty and who require nursing care. At the time of inspection there were 60 people living at the service.

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

Lessons had not always been learned and people had not always received safe care and treatment when they had experienced falls and head injuries. Staff did not always ensure they followed current infection prevention and control guidance (IPC) when supporting people. Some systems relied upon to provide oversight of all people’s clinical needs were not always effective. The registered manager and provider had not identified the concerns found as part of this inspection in relation to falls management and IPC.

When our concerns were fed back to the registered manager they took immediate action to ensure people received safe care and treatment and systems were implemented to mitigate further risk.

Staffing levels had improved since the last inspection yet required further improvement. We have made a recommendation that consideration is made to the deployment of staff and allocation of additional responsibilities during the COVID-19 pandemic. This will help the provider ensure staff are able to meet people's needs and there is sufficient and effective oversight of people's care.

People and staff told us staff worked as a team to help ensure people’s needs were met. The registered manager had been creative when deploying staff to help ensure staffing levels were used to their best effect.

People’s care had improved in relation to the concerns found as part of the last inspection. This included enhanced oversight of medicines and modified diets.

People told us they were happy and felt safe at the service. They told us they felt well-cared for by staff. One person told us, “I feel safe, we are well looked after. The staff are all kind”.

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 Requires Improvement (Report published 17 January 2020). The registered manager and provider completed an action plan after the last inspection to show what they would do and by when to improve.

Since the last inspection, there had been improved oversight of people’s care in relation to the concerns we had previously found. At this inspection, we found new concerns in relation to some people’s safe care and treatment. Concerns remained about the oversight of aspects of some people’s care. The registered manager and provider were still in breach of regulations.

Why we inspected

This inspection was prompted in part due to concerns received about two specific incidents relating to medicines management and falls. Following one of these incidents, a person using the service died. These incidents are subject to ongoing investigation. As a result, this inspection did not examine the circumstances of the incidents. However, we looked at how the registered manager and provider had learned lessons from the incidents to help ensure people’s safety.

We undertook this targeted inspection to see if the concerns we found at the previous inspection had improved. We checked whether the Requirement Actions we previously served in relation to Regulations 12, (Safe care and treatment), 17 (Good governance) and 18 (Staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. We also checked to see that the previous breach of Regulation 18 (Notification of other incidents) of the Care Quality Commission (Registration) Regulations 2009 had been met. We looked at the care people had received in response to concerns that had been raised to us since the last inspection. The overall rating for the service has not changed

Inspection areas

Safe

Requires improvement

Updated 14 January 2021

At our last inspection we rated this key question Requires Improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 14 January 2021

Caring

Good

Updated 14 January 2021

Responsive

Good

Updated 14 January 2021

Well-led

Requires improvement

Updated 14 January 2021

At our last inspection we rated this key question Requires Improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.