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Faversham House Nursing Home Good

Inspection Summary

Overall summary & rating


Updated 23 November 2018

This was an unannounced inspection that took place on 31 October 2018.

Faversham House Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Faversham House is a nursing care home in the Urmston area of Trafford and can accommodate 20 people. At the time of this inspection, there were 20 people living at the service, some of whom were living with dementia.

At our last inspection on 2 February 2016 we rated the service good. At this inspection 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.

There was a manager in place at Faversham House Nursing Home, who was also the owner of the service. They were in the process of registering with CQC to become the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service.

Risk assessments were in place for people who lived at Faversham House Nursing Home. Risk assessments were tailored around the needs of the person, support measures were in place to mitigate risks and assessments were regularly reviewed and updated. Staff were familiar with people's risks; they received daily updates on people's health and well-being and if their circumstances had changed.

There were safe recruitment procedures in place to ensure staff were of the right character to support vulnerable people. However, we found no evidence of medical statements. Medical statements enable new starters to declare any health condition or disability. The manager said this had been overlooked and confirmed they would review this as a matter of urgency.

Accidents and incidents were routinely recorded and analysed. There was an accident and incident reporting policy in place and staff routinely completed accident and incident documentation. The manager analysed monthly accident and incident reports and established trends that were emerging as a measure of mitigating risk.

Medicines were stored safely and securely, however two people prescribed PRN medicines (medicines to be given 'as and when' needed) did not have protocols in place. The manager was responsive to our feedback and ensured that all protocols were reviewed and updated during the inspection.

The home was acting under the principles of the Mental Capacity Act and people were asked for their consent before support was given. Where people lacked the capacity to make decisions for themselves, appropriate processes were in place to identify the person's best interests.

Staff received regular supervision and told us they received support on a day to day basis. Staff were supported with training, learning and development opportunities.

Confidential information was securely stored and protected in line with General Data Protection Regulation (GDPR). This meant that people's sensitive and personal information was not unnecessarily shared with others.

We observed the mealtime experience and found this to be relaxed and well organised. People received any help, support and encouragement they required to eat and drink promptly.

A person-centred approach to care was evident. Records were tailored around the needs of the person and staff were familiar with the likes, dislikes, preferences and wishes of people they supported.

People were sensitively supported with end of life wishes and preferences. Recor

Inspection areas



Updated 23 November 2018

The service remains Good



Updated 23 November 2018

The service remained effective.



Updated 23 November 2018

The service remained caring.



Updated 23 November 2018

The service was responsive and the rating for this domain had improved from Requires Improvement to Good.

Staff were familiar with the needs of the people they supported. Records were person-centred and tailored around the needs of the person.

A variety of different activities were provided. Activities were enjoyable, stimulating and engaging.

People and their relatives were familiar with the complaints process. Complaints were recorded and responded to accordingly.



Updated 23 November 2018

The service remained well-led.