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Faircross Care Home London Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 February 2019

About the service: Faircross Care Home London Limited is a residential care home that provides personal and or nursing care for up to five people with learning disabilities. At the time of the inspection there were three people living at the service receiving care.

People’s experience of using this service:

People and relatives told us they were happy with the care provided by Faircross Care Home London Limited. One person told us, “I like living here and I am going to stay a little while longer.” One relative told us, “Overall I’m happy – I’ve seen the best the worst and the in-betweens and They provide really good care for [person].” Another relative said, “They are very good, practically family.”

There were safeguarding processes in place and staff knew what to do if they suspected abuse. Risks to people were recorded and reviewed, however, there was no input from people and their relatives within the review process. Lessons were learned when things went wrong and we found incidents had been recorded and referred to the local authority appropriately. Recruitment practices were robust. There were sufficient staff working at the service. Medicines were recorded and managed properly. There were robust infection control measures in place.

Some staff had not completed their mandatory training though the person applying to be the registered manager was aware of this and had plans to correct it in early 2019. Staff received inductions, supervisions and appraisals. We checked whether the service was working within the principles of the Mental Capacity Act (MCA), legislation that protects people with mental capacity and memory issues, and found them to be compliant. However, some staff had not received training on the MCA. People’s needs were assessed before they received a service. People were supported to eat and drink healthily. Staff communicated effectively with each other about people’s needs using a variety of methods. People were supported to lead healthier lives.

People and their relatives told us staff were caring. People and their relatives were supported to express their views and were involved in decision making about people’s care and treatment. People’s privacy was respected and their independence promoted.

People’s needs and preferences were recorded in care plans and they received care from staff who knew them. People and their relatives knew how make complaints and the service responded to these appropriately. People’s end of life wishes were recorded and some staff were trained to work with people if they were at end of life, though no one was at the time of our inspection.

The person applying to be registered manager was highly thought of and had a positive impact on the service. They were aware of their responsibilities and knew there were still areas of the service that required improvement. There were adequate quality assurance measures at the service. People, relatives and staff were engaged and involved with the service through meetings and surveys. The service had good links with others.

Rating at last inspection: The home was last inspected on 26 April and 02 May 2018 when it was found to be in breach of seven health and social care regulations. These breaches related to safe care and treatment, safeguarding adults, complaints, good governance, staffing and fit and proper persons employed. The home was rated Inadequate overall and therefore this service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection, the provider demonstrated to us that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures. However, we found some areas that required further improvement and therefore the home has been rated 'Requires Im

Inspection areas

Safe

Good

Updated 15 February 2019

The service was safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 15 February 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 15 February 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 15 February 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 15 February 2019

The service was not always well-led

Details are in our Well-Led findings below.