Background to this inspection
Updated
15 June 2021
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 Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own retirement apartments.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service short notice of the inspection. This was to ensure the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with seven members of staff including the registered manager.
We reviewed a range of records. This included three people’s care records and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
Updated
15 June 2021
About the service
The Fairways Retirement Village provides personal care to people living in their own home. The Retirement Village consists of apartments which people have individually purchased. The service is managed by the MHA group which is a charitable organisation. At the time of this inspection 13 people were using the service.
People’s experience of using this service and what we found
People felt safe and relatives had no concerns about safety. Potential risks had been identified and action taken to mitigate them. Staff had undertaken safeguarding training and were aware of their responsibilities to identify and report potential abuse.
People were supported by sufficient numbers of suitably trained staff.
Medicine systems were safe. Prompt action was taken by the registered manager following feedback on the findings of the inspection.
The service had good infection prevention systems in place. People and staff felt well supported and safe during the height of the pandemic and had access to the appropriate personal protective equipment required.
The service was well led. There was a registered manager at the home who maintained oversight. People and staff had regular meetings to discuss their views, if needed, actions were identified and acted on.
The registered manager provided good support for staff to be able to do their job effectively. The provider’s quality assurance processes were effective and had resulted in improvements to the service.
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 (published 20 May 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of any regulations.
Why we inspected
This was a planned inspection based on the previous rating.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Fairways Retirement Village on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.