Fairlight Manor provides accommodation and support for up to 19 older people living with a dementia type illness. Some people are independent and require little assistance, while others require assistance with personal care, daily living and moving around the home. There were 17 people living at the home during the inspection.
The home is a converted older building, bedrooms are on three floors, there was a lift to enable people to access all parts of the home and a secure garden to the rear of the building. The registered manager is part owner of the home.
The registered manager was present during the inspection. 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.
This inspection took place on the 28 and 29 July and was unannounced. The last inspection was carried out on the 13 May 2013 and we found no concerns.
Relevant training to support people with Parkinson’s disease had not been provided and staff were not aware of how to meet these specific needs.
A safeguarding policy was in place and staff had attended safeguarding training. They had an understanding of recognising risks of abuse to people and how to raise concerns if they had any.
Risk assessments had been completed as part of the care planning process; these identified people’s specific needs and included guidance for staff to follow to ensure people received the support and care they needed.
There were enough staff working in the home to meet people’s needs, and recruitment procedures were in place to ensure only suitable people worked at the home. Staff said they were supported to deliver safe and effective care, and demonstrated they knew people well and felt they enabled people to maintain their independence.
There were systems in place to manage medicines. Staff were trained in the safe administration of medicines. Staff followed relevant policies, they administered medicines safely and completed the administration records appropriately.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager and staff had an understanding of their responsibilities and processes of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.
People told us the food was very good. Staff asked people what they wanted to eat, choices were available for each meal, and people enjoyed the food provided. People told us they decided what they wanted to do, some joined in activities while others chose to sit quietly in their room or communal areas.
People had access to health professionals as and when they required it. The visits were recorded in the care plans with details of any changes to support provided as guidance for staff to follow when planning care.
A complaints procedure was in place. This was displayed on the notice board near the entrance to the building, and given to people, and relatives, when they moved into the home. People said they did not have anything to complain about, and relatives said they were aware of the procedures and who to complain to, but had not needed to use them.
Care and support was personalised to meet each person’s individual needs. Care plans had been reviewed regularly; with the involvement of people living in the home and/or their relatives if appropriate, these reflected people’s needs and included guidance for staff to follow to meet them.
An activity programme suggested a number of activities people might like to participate in, but this was very flexible. One person said, “We decide what we want to do and when, and it usually changes depending on how we feel.”
People, relatives and staff said they management were very approachable, and they all felt involved in decisions about how the service developed with ongoing discussion through residents and staff meetings. In addition feedback was sought from people, their relatives and other visitors to the home through satisfaction questionnaires, and staff also completed a questionnaire.
The registered manager had quality assurance systems in place to audit the support provided at the home. These included audits of care plans, medicines, menus, accidents and complaints.
We recommend the provider seek advice with regard to providing suitable training for staff to ensure they can meet the needs of people diagnosed with Parkinson’s disease.