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Inspection Summary

Overall summary & rating


Updated 9 June 2021

About the service

Fernlea is a nursing and residential care home providing personal and nursing care to 46 people at the time of the inspection. The service can support up to 48 people in one purpose-built building over two floors.

People’s experience of using this service and what we found

We found improvements to the way medicines and nursing practices were managed in the home. We were assured the home employed safe and effective infection prevention and control practices. Staff had undergone safe recruitment checks prior to working the home.

We have made a recommendation about the management of some medicines.

People were supported by staff who had received training and supervision. Feedback around staff was positive from people who felt well cared for. People received input from healthcare professionals where needed and were supported to access the appropriate health services in a timely way. People were fully supported with their hydration and nutrition needs by staff who were aware of their individual needs and choices around food and drink. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service had employed a clinical lead since the last inspection to complement the management team. More robust clinical monitoring and audits had been introduced. The management team had addressed the issues from the last inspection. Feedback about the management of the home from people and staff was very positive.

We have made a recommendation about the secure storage of potentially harmful substances.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service was requires improvement (published 4 June 2020) and we found breaches of two regulations. 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 regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We commenced an unannounced comprehensive inspection of this service on 27 January 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

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 Safe, Effective 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 Fernlea on our website at

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.

Inspection areas



Updated 9 June 2021

The service was safe.



Updated 9 June 2021

The service was effective.



Updated 9 June 2021



Updated 9 June 2021



Updated 9 June 2021

The service was well-led.