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We are carrying out a review of quality at Fairmount. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 22 August 2019

About the service

Fairmount is a care home service that accommodates 38 older people across two floors in one adapted building. The home specialises in caring for people living with dementia. There were 35 people using the service at the time of our inspection.

People's experience of using this service Medicines were not safely managed. Medicine Administration Records (MAR) were not always completed in full to demonstrate people had received their medicines as prescribed. Staff had not recorded opening dates of medicines where required to ensure they remained safe for use. Unlabelled medicines were found in the medicines trolley. People’s monitoring charts including food and fluid charts, repositioning charts and records relating to personal care were not always completed to help ensure people’s safety.

Staff were not always kind or caring. We saw one person was left to sleep instead of being encouraged to eat their lunch. Staff did not always treat people with dignity and did not always ask for their consent before supporting them. The provider’s systems to assess and monitor the quality of the service were not effective as they had not identified the issues we found at this inspection.

People said they felt safe and that their needs were met. Risks were identified, and risk management plans were in place to manage these safely. People were protected against the risk of infection. Assessments were carried out to ensure people's needs could be met. Accidents and incidents were appropriately managed and learning from this was disseminated to staff. Sufficient numbers of suitably skilled staff were deployed to meet people’s needs.

Assessments were carried out prior to people joining the home to ensure their needs could be met. Staff were supported through induction, training and supervisions. 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 were supported to eat a healthy and well-balanced diet. People had access to a variety of healthcare professionals when required to maintain good health.

People’s independence was promoted. Based on observation, we saw that information was available to people in a range of formats to meet their individual communication needs if required. The service was not currently supporting people who were considered end of life, but if they did relevant information would be recorded in their care plans. The provider worked in partnership with key organisations to ensure people's individual needs were planned.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection and update

The last rating of the service was requires improvement (published on 19 July 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to, dignity and respect, safe care and treatment and good governance.

Please see the action we have told the provider to take at the end of this report. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up:

We will ask the provider to complete an action plan to show what they will do and by when to improve to at least good. We will continue to monitor intelligence we rece

Inspection areas

Safe

Inadequate

Updated 22 August 2019

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 August 2019

The service was not constantly effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 22 August 2019

The service was not consistently caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 22 August 2019

The service was not consistently responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 22 August 2019

The service was not well-led.

Details are in our well-led findings below.