12 October 2021
During an inspection looking at part of the service
Faycroft is a residential care home providing personal care to six people with a learning disability at the time of the inspection. The service can support up to seven people.
The home is split over two levels with most of the bedrooms and bathrooms on the first floor. Downstairs there is an open plan lounge, kitchen and dining room with a separate lounge for people wanting some personal space. The home is located close to local amenities.
People’s experience of using this service and what we found
The overall governance of the home had improved. The manager and the provider completed monitoring checks to ensure people’s care was in line with the standard required.
People and the staff were able to communicate more openly which had improved the culture within the home.
People’s care plans had been updated and a standardised format was being used. Best practice guidance was reflected in the updated care plans. Daily record and incident reports were being monitored and action was taken to address any concerns.
Improvements were needed to the environment to improve the homes ability to mitigate the risk of infection spreading. The provider also needed to ensure all staff were confident donning and doffing personal protective equipment (PPE) and ensure staff documented their Covid-19 test results at the time the test was taken.
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 for this service was requires improvement (published 07 May 2020).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we reviewed the action plan and improvements had been made but the service remained in breach as the improvements were yet to be embedded.
Why we inspected
We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.