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Littlefair Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 18 January 2020

About the service:

Littlefair is a residential care home. It is registered to provided accommodation and personal care for up to 41 people. At the time of our inspection 33 people were living at the home. Littlefair provides accommodation and personal care to older people some of whom are living with dementia. It is one purpose-built property spread over three floors and has a garden and accessible patio area.

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

People were supported to take their medicines safely; however the recording of people’s medicines held in stock did not match the actual stock levels in the medicine’s cabinet.

The provider’s policies and procedures for the frequency of supervision support for staff was not being followed and needed to be more regular. The acting managers told us improvements were being made to implement this immediately. We have made a recommendation regarding supervision.

People told us they felt safe and secure and well cared for.

The provider had good systems for monitoring risk and staff had a good understanding of people's needs and how to keep them safe.

People and relatives told us there were enough staff on duty to meet their needs.

Staff told us they worked well together as a team, and we noted there was a spirit of good morale amongst them.

Whistleblowing procedures were in place and displayed on notice boards. Staff told us they were confident any concerns they reported would be dealt with appropriately.

Appropriate infection control procedures were in place and staff received training with food hygiene. The home was seen to be clean. Some parts of the home were tired looking because some carpets needed replacing. The chief operating officer showed us the improvement plan for the home for 2019/20 which included a plan to replace these carpets and included other developments such as the installation of new kitchen equipment.

Feedback from people and relatives was positive. They were complimentary about the staff and commented on their caring and supportive attitude.

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. Staff were knowledgeable of the Mental Capacity Act and how it may impact on people, however not all forms giving consent had been signed. We have made a recommendation about this.

People and their relatives told us they experienced a positive approach to care and were encouraged to give their feedback to help improve the home.

The staff worked with outside professionals to improve people's health and social wellbeing. They worked collaboratively with other agencies and organisations to meet people’s needs.

People received care that was tailored to their needs and wishes. This was provided by caring, attentive and compassionate staff. The atmosphere of the home was positive and welcoming, and people and relatives told us staff were friendly, providing care and support in a way people liked and enjoyed.

The concerns and complaints procedures meant that people were able to make complaints or raise concerns and have confidence they would be responded to in an appropriate way.

Quality assurance processes were in place that monitored practice and procedure by staff, however some improvements in developing the quality assurance systems were needed and the provider was in agreement with this.

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 good (published 20 June 2017).

Why we inspected

This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvements.

Please see the Safe and Well Led sections of this full report. You can see what action we have asked the provider to take at

Inspection areas


Requires improvement

Updated 18 January 2020

The service was not always safe.

Details are in our Safe findings below.



Updated 18 January 2020

The service was effective.

Details are in our Effective findings below.



Updated 18 January 2020

The service was caring.

Details are in our Caring findings below



Updated 18 January 2020

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 18 January 2020

The service was not always well-led.

Details are in our Well-Led findings below.