Background to this inspection
Updated
9 June 2023
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
The inspection was carried out by 2 adult social care inspectors, and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Friern Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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
The inspection was unannounced. We visited the location’s service on 30 May 2023.
What we did before the inspection
Before our inspection, we reviewed the information we held about the service which included statutory notifications and safeguarding and the Provider Information Return (PIR). The PIR 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. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manager, 2 care workers, 7 people who used the service and 2 relatives. We looked at 4 people’s care records and 2 staff records including safe recruitment; we also looked at various documents relating to the management of the service.
Following our visit, we received further information from the registered manager, which included audits and fire safety evidence.
Updated
9 June 2023
About the service
Friern Residential Care Home is a care home registered to accommodate up to 18 people. Its services focus mainly on caring for older adults who have mental health conditions. On the day of our inspection there were 18 people residing at the home.
People’s experience of using this service and what we found
People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people.
People's care was planned and risks to their safety and wellbeing were assessed. The service reviewed these plans regularly, involving people in these reviews and asking for their opinions.
Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor practice.
Staff were recruited to the service safely and people's medicines were administered safely. The service was clean and with no unpleasant smell. Staff knew how to use and dispose of personal protective equipment (PPE) safely.
People had been living at the service for many years but had been assessed before care had begun. People were involved in planning their care and care was personalised to meet their needs detailing their likes and dislikes.
People and staff praised the managers of the service and agreed that they were approachable, knowledgeable, fair and did their job well. The staff team worked well together and supported the registered manager.
The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff understood their responsibilities to report any concerns.
People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well.
Care plans contained information about each person’s individual support needs and preferences in relation to their care and we found evidence of good outcomes for people.
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.
Recruitment practices were safe and relevant checks had been completed before staff worked at the service.
The managers of the service actively sought the views of people and their relatives about the running of the service, and they dealt promptly with any concerns that people raised.
The provider had systems in place to monitor and improve the quality and safety of the service provided. There was a positive culture throughout the service. Staff told us they enjoyed working at the service and felt valued.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection we rated this service Good. The report was published on 24 May 2018
Why we inspected
This inspection was prompted by a review of the information we held about this service. This report only covers our findings in relation to the Key Questions Safe and Well Led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.