Background to this inspection
Updated
30 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by one inspector.
Service and service type:
Fairview Farm is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection:
This inspection was unannounced. The inspection was carried out on 28 March 2019.
What we did:
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is required to tell us about. We also considered the last inspection report and information that had been sent to us by other agencies. We also contacted commissioners who had a contract with the service.
During this inspection we spoke with:
Seven people living at Fairview Farm.
Two relatives/family members.
Five members of staff including the registered manager, deputy manager, team leader, two care staff.
We reviewed:
Four people's care records to ensure they were reflective of their care needs.
Four staff recruitment files.
Documents relating to the management of the service such as policies, audits, meeting minutes and safeguarding records.
Updated
30 May 2019
About the service:
Fairview Farm is a large home, bigger than most domestic style properties. It was registered to support up to 22 people. 19 people were using the service. There was also a respite facility where people could stay for a period of time. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centered support appropriate for them.
People’s experience of using this service:
The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways:
People's consent was gained before any care was provided, and they were supported to have maximum choice and control of their lives.
People were supported in the least restrictive way possible.
People were able to take part in a range of activities and outings and their independence was promoted.
People and their family were involved in care planning as much as was possible.
People received safe care. Staff understood safeguarding procedures. Risk assessments were in place to reduce and manage risks within people’s lives.
Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.
Medicines were stored and administered safely.
Staffing support matched the level of assessed needs within the service during our inspection.
Staff were trained to support people effectively. Staff were supervised well and felt confident in their roles.
People were supported to have a varied diet. Healthcare needs were met, and people could see health professionals as needed.
Staff treated people with kindness, dignity and respect, and spent time getting to know them.
Care plans reflected people likes, dislikes and preferences. A complaints system was in place and was used effectively.
The manager was open and honest, and worked in partnership with outside agencies to improve people’s support when needed. Audits of the service were detailed. Any issues found were addressed promptly.
The service had a registered manager in place, and staff felt well supported by them.
The service met the characteristics for a rating of Good in all of five key questions we inspected. Therefore, our overall rating for the service after this inspection was Good. More information is in the full report.
Rating at last inspection: Requires Improvement (report published September 2017)
Why we inspected: This was a planned inspection.
Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk