Fairfield Country Rest Home

Updated 15 November 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

The inspection was carried out by two inspectors 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

Fairfield Country Rest 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. Fairfield Country Rest Home 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.

What we did before the inspection

We reviewed information we had received about the service. 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 information gathered as part of monitoring activity that took place on 30 March 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with eleven members of staff including the two owners/providers, the registered manager and the deputy manager. We also spoke with two members of the kitchen staff team and a supervisor. We spoke with eight people and two visiting relatives. We spoke with a further nine relatives over the phone. We received feedback from five external healthcare professionals.

We looked at two staff files and four care plans. We looked at two people’s Medicine Administration Records. We reviewed a selection of policies, staff training records and other records relating to the management of the service.

Updated 15 November 2022

About the service

Fairfield Country Rest Home is a residential care home providing care and accommodation for up to 32 older people. At the time of the inspection there were 29 people living at the service. Some people were living with dementia. The service is based in in a single storey building and is in a rural setting.

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

The provider, registered manager and staff were committed to providing person-centred care that met people's needs, both physically and emotionally at all stages of their lives.

The registered manager and staff ensured people at the end of their lives continued to receive person-centred care which took their preferences fully into account and allowed them to spend time with people who mattered to them.

People's preferences and interests were known and respected. Staff took time and effort to help ensure people had access to things that were important to them and made them feel at home.

There was a feeling of community and belonging. People were asked for their opinions of the service. We saw people spending time together in an environment that was relaxed and friendly.

People and their relatives told us they were confident the service was managed safely. There were regular checks of the premises and utilities.

Staff had a good understanding of safeguarding processes. They had regular training to ensure they were skilled when supporting people to move around and when using equipment. Risk assessments were completed to highlight any areas of particular risk and guide staff on how to support people safely.

There were enough staff to meet people’s needs and support them in an unhurried and friendly manner. Staff were polite and respectful when supporting people. They ensured people were comfortable and asked permission before supporting people to move around the premises.

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 living at Fairfield were asked for their opinion of the service. Regular meetings were held when subjects such as menu choices and activities were discussed. The premises were pleasant and welcoming. Shared areas were regularly redecorated, and furnishings kept up to date. People’s rooms reflected their preferences and interests.

The management team worked with other professionals and agencies to help ensure people were able to access healthcare in line with their needs.

There were clear lines of responsibility within the staff team. The provider/owners were highly proactive in the day to day running of the service and supportive of the registered and deputy managers. Staff told us the management team were approachable and fair.

Rating at last inspection

The last rating for the service under the previous legal entity was good, published on 16 March 2020.

Why we inspected

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

Follow up

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