Background to this inspection
Updated
21 July 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was completed by one inspector.
Service and service type
Fairway Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Fairway Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 29 March 2022 and ended on 29 April 2022. We visited the service on 29 March 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with three people who were using the service about their experience of the care provided. We also reviewed feedback received from people and relatives who had previously used the service.
We spoke with nine members of staff including the registered manager, team leaders and care staff.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including audits, quality checks and policies were also reviewed.
Updated
21 July 2022
About the service
Fairway Residential Care Home is a ‘care home’ registered to provide accommodation and personal care for up to 45 people.
The service has been identified for use by the Local Authority as a designated care setting for people discharged from hospital with a positive COVID-19 status. This is the sole use of the service.
At the time of our inspection visit, there were 24 people using the service. This number fluctuated during the course of the inspection with multiple admissions and discharges taking place.
Since our inspection, designated care settings have ceased from being used by local authorities. Fairway Residential Home stopped new admissions on 12 June 2022 and closed on 04 July 2022.
People’s experience of using this service and what we found
Checks and audits had not been consistently completed and were not fully embedded into everyday practice. Quality assurance records had not been maintained sufficiently for the registered manager to demonstrate consistent oversight of the service. A comprehensive action plan had been completed to address areas where improvements were required. This included areas such as the content and detail within people’s care plans and associated risk assessment, oversight of incidents and accidents, how complaints and feedback was recorded and responded to and the maintenance of accurate staff training records. The registered manager was open and honest about the challenges that came with managing a designated care setting, and fully participated in the inspection process in a candid manner.
People were encouraged to be involved in decision making and have control over the care they received, whilst taking into consideration the service was a designated care setting and people were required to complete an initial period of isolation on admission. Staff spoke positively about the changes being made to care documentation and records which supported the increased involvement of people.
Feedback was encouraged by the registered manager, with ‘post stay’ surveys being completed by people and their relatives. There was a complaints procedure in place, which was readily available at the service. However, records regarding the management and response to any complaints received required further detail and organisation.
People told us they felt safe at the service and expressed they had no concerns. Staff knew and understood the safeguarding procedure in place and their responsibility to report any concerns they may have.
Medicines seen were managed safely and there were robust infection prevention and control measures in place. Staffing levels were sufficient, with safe recruitment processes followed when new staff were appointed.
Assessments of people's needs were completed by the hospital discharge team prior to people being admitted into the service. Care plans detailed people’s immediate care needs for the duration of their stay at the service and people were involved in the planning of their care wherever possible.
Staff had received training, and although the overall staffing records were not up to date, they spoke positively about the access to training, support and guidance they were provided with.
People were supported to ensure their health needs were met. The service worked in partnership with multiple health professionals to ensure that any changes to people’s health and well-being were responded to promptly and their recovery from COVID-19 was monitored.
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 treated people with respect and compassion. People praised the staff team and described them as caring and attentive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 May 2020.
At the last inspection, the service was not rated (published 14 November 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.