People’s experience of the service and what we found:
People were not always safeguarded from the risk of abuse and action was not always taken to mitigate the risk of harm to people following incidents and accidents. Systems in place did not support continuous learning. People’s risk assessments were not always followed, and this put them at risk.
The environment was not always safe for people. Window restrictors did not meet health and safety guidance and safety checks were not always undertaken on a regular basis. Although the home was clean, there was a malodour in the ground floor bedroom corridor.
Quality monitoring systems had not ensured that the service was safe. The registered manager undertook monthly audits, however these were not effective in analysing trends and identifying improvements.
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
The last rating for this service was Good and the report published on 23 April 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can see what action we have asked the provider to take at the end of this full report
We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Far Fillimore on our website at www.cqc.org.uk.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.