We carried out a review of the data available to us about The Fairways on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Fairways, you can give feedback on this service.
We found the following examples of good practice.
The service was a purpose-built home. The design and layout enabled effective infection prevention and control. For example, spacious rooms supported social distancing.
The service was clean and free from malodour. Regular cleaning following a cleaning schedule helped to reduce the risk of people catching or spreading COVID-19.
Zoning in the home had been used to good effect during the outbreak to reduce mixing between people and staff across the home. This helped reduce the risk of transmitting infection.
Staff closely monitored people’s health and wellbeing. They completed checks, including temperature checks to identify any possible symptoms of COVID-19.
The provider worked with the registered manager to learn from their experiences of working during the COVID-19 pandemic and improve their ways of working.
Government guidance in relation to visiting in the home had not always been followed. We have made a recommendation about this.
The Fairways 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.
The care home can accommodate up to fifty four people across two separate units, each of which have separate adapted facilities. There were forty seven people in residence when we visited. People living in the service are older adults some of whom may be living with dementia. The home does not provide nursing care.
The home had a suitably qualified and experienced registered manager who had a background in social care and in management. She also had a degree in the care of people living with dementia. 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 is run.
The staff team understood how to protect vulnerable adults from harm and abuse. Staff had received suitable training and spoke to us about how they would identify any issues and report them appropriately. Risk assessments and risk management plans supported people well. Good arrangements were in place to ensure that new members of staff had been suitably vetted and that they were the right kind of people to work with vulnerable adults. Accidents or incidents management was of a good standard.
The registered manager kept staffing rosters under review as people's needs changed. We judged that the service employed enough care staff by day and night to meet people's needs. There were suitable numbers of ancillary staff employed in the home.
Staff were appropriately inducted, trained and developed to give the best support possible. We met team members who understood people's needs and who had suitable training and experience in their roles.
Medicines were suitably managed in the service with people having reviews of their medicines on a regular basis. The staff told us the new medication administration system had made medicines management more efficient.
People in the home saw their GP and health specialists whenever necessary. Staff took the advice of nurses and consultants. The staff team had good working relationships with local GP surgeries.
Good assessments of need were in place, and the staff team reviewed the delivery of care for effectiveness. They worked with health and social care professionals to ensure that assessment and review of support needed was suitable and up to date.
People told us they were satisfied with the food provided and we saw suitably prepared meals being served. Nutritional planning was in place and special diets catered for appropriately.
The Fairways is a modern building that was designed to provide support to people who may have issues with mobility.The provider had updated and refurbished the building to a high standard. It had suitable adaptations to ensure people were safe and had enough personal and shared space.The house was warm, clean and comfortable on the day we visited. Suitable equipment was available.
The staff team were aware of their responsibilities under the Mental Capacity Act 2005. 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 supported this practice.
People who lived in the home told us that the staff were caring. We also observed kind and patient support being provided. Staff supported people in a respectful way. They made sure that confidentiality, privacy and dignity were maintained.
Risk assessments and care plans provided detailed guidance for staff in the home. People in the service were aware of their care plans and had influenced the content. The management team had ensured the plans reflected the person centred care that was being delivered.
Staff could access specialists if people needed communication tools like sign language or braille.
Staff encouraged people to follow their own interests and hobbies. We saw evidence of regular activities and entertainments in the home.
The service had a comprehensive quality monitoring system in place and people were asked their views in a number of different ways. Quality assurance was used to support future planning.
We had evidence to show that the registered manager and the directors of the company were able to deal with concerns or complaints appropriately.
Records were well organised, easy to access and stored securely. The staff team had taken on board the new IT records system and this was working effectively.
The Fairways is a twenty-six bedded, single storey home for older adults and people living with dementia. Care is provided in integrated groups and the home does not have a dementia care unit. It is situated in a rural setting near to Workington. The home has a large car park and secure garden areas. There is a limited bus service to the home. The accommodation is in single, ensuite rooms. The home had suitable shared areas for living and dining.
The home had a 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 is run.
People who lived in the home told us they felt safe and well cared for. Good arrangements were in place to protect people from harm and abuse. Accidents and incidents were suitably managed.
The premises was safe and secure. Good infection control was in place.
The home was well staffed with a team of workers who had been recruited appropriately. Good levels of induction, training and supervision were in place. The home had a disciplinary policy in place.
Medicines were suitably managed and staff had appropriate training to support people.
The registered manager was aware of her responsibilities under the mental Capacity Act. Where any person was being deprived of their liberty a Deprivation of Liberty authority was sought.
We saw evidence to show that people were routinely asked for consent and that no one was in the home unless they wanted to be there. Restraint was not used in the service.
The catering was of a very high standard. Good nutritional planning was in place.
The home had been refurbished to a very high standard. The environment was clean, odour free, well decorated and suitably furnished.
We met a caring, conscientious and respectful team of staff who had the needs of people as their focus.
Independence was encouraged and supported.
End of life care was managed well with the support of the community nursing teams.
Assessment and care planning were detailed and up to date. Staff understood and followed these plans.
Varied and meaningful activities and entertainments were on offer in the home.
Complaints were suitably managed.
We judged that the management team in this home was open and transparent. There were extremely high standards in all areas. Staff were aware of these standards and were encouraged to reflect on their practice on a daily basis.
A simple, yet effective, quality monitoring system was in place. This fed into a quality assurance system that had already brought about change and improvement in response to need and preference.
Health and social care professionals were positive about the care and services delivered. We had evidence to show that the staff team worked well with other professionals.