Fairhaven

Updated 12 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The comprehensive inspection took place on 9 and 25 October 2018. The visit on the 9 October was unannounced. As the service is a small care home for younger adults who are often out during the day we arranged to return to the service on 25 October. As part of our inspection, we spent time and spoke with the people living at the service and we needed to be sure that they would be in.

One inspector and an expert by experience undertook this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection we reviewed the information we held about the service. We considered information which had been shared with us by the local authority and clinical commissioning group. The provider had completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually 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 reviewed previous inspection reports and notifications received from the service before the inspection. A notification is information about important events which the service is required to send us by law. This enabled us to ensure we were addressing any potential areas of concern.

During our inspection, we observed how people and staff interacted. We spoke with five people living at the service. We also spoke with the registered manager and two care staff.

We looked at care records for three people, medication administration records (MAR), several policies and procedures, four staff files, staff training, induction and supervision records, staff rotas, complaints records, accident and incident records, audits and minutes of meetings.

Updated 12 January 2019

Fairhaven is a registered care home for up to thirteen people with a variety of mental health issues. There were eight people living at the service at the time of this inspection.

At our last inspection we rated the service good. At the inspection we found that the provider was in breach of Regulation 9 of the Care Quality Commission (Regulated Activity) Regulations 2014. This was because care plans contained incomplete information. There were no clear guidelines regarding behaviours that could be challenging to other people and staff. Following the inspection, the provider sent us an action plan to say what they would do to meet legal requirements in relation to the breach. At this inspection we saw that the provider had followed their plan and had met legal requirements. We found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

The service had a positive culture that was person-centred, open and inclusive. There was a strong emphasis on putting people first. People were involved in the service within their capabilities. People assisted with meal preparation with staff support. Everyone spoke highly regarding the staff. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

The service had a registered manager in place. It was well led, and the registered manager was aware of their legal responsibilities.

Staff were enthusiastic and keen to talk about their role. Staff were proud of the service and their work. They felt supported within their roles and held the registered manager in high regard. Recruitment practices were robust, and staff received training appropriate to their role and the needs of the people living at the service.

People had comprehensive plans of care and risk assessments. Care was individualised and person centred.

Further information is in the detailed findings below.