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CQC report explained · a residential care home

What the CQC found at Fair Haven Care Home

Goodpublished 2 August 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found good infection control arrangements, including cleaning, protective equipment, testing and outbreak planning. They also found that a 10-day restriction on visitors during a local outbreak had not followed the guidance in force at that time.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong infection control, but visiting restrictions had not followed guidance at one point.

This was a targeted inspection on 20 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures. The visit was announced one day in advance.

The home was clean and had regular cleaning of frequently touched surfaces. Staff used protective equipment correctly, supplies were ample, and checks were carried out for staff and visitors. Inspectors were assured that testing, admissions, distancing and outbreak arrangements were being managed safely.

The home had stopped all visits for 10 days during a local COVID-19 outbreak, apart from limited exceptions. Inspectors said this was not in line with the guidance at that time. During the inspection, visiting arrangements had been brought into line with current guidance.

The service was inspected but not rated. This means the inspection did not give an overall quality rating or a rated result for safety.

What inspectors praised
  • Clean environment

    The home was clean and fresh. Frequently touched areas were cleaned often, with deeper cleaning carried out regularly.

    “The service was clean and fresh. Housekeeping staff ensured that all high touch points, such as door handles, were cleaned frequently, and deep cleaning took place on a regular basis.” from the report
  • Good infection controls

    Staff used protective equipment correctly and the home had enough supplies. Inspectors were assured that testing, distancing and outbreak arrangements were in place.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Staff felt supported

    Staff told inspectors they felt safe at work and felt well supported by the registered manager.

    “Staff felt safe working at the service and told us the registered manager supported them very well.” from the report
What inspectors were concerned about
  • Visitors were restricted too far

    needs fixing

    During a local COVID-19 outbreak, the home stopped visits for 10 days except in limited circumstances. Inspectors said this did not follow the guidance at that time, although arrangements had been corrected by the inspection.

    “This was not in line with guidance at that time.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure visiting arrangements follow the current guidance during a COVID-19 outbreak?
  2. 02What staffing pressures is the home currently experiencing, and how are you managing their effect on care?
  3. 03How often do you review the infection prevention and control policy?
  4. 04How do you check that staff and visitors are following protective equipment, testing and hygiene arrangements?
  5. 05What arrangements are in place for visits if a relative is receiving end of life care or is seriously unwell?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 3 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors found strong infection prevention and control arrangements at Fair Haven Care Home.

This was an unannounced, targeted inspection on 3 February 2021. It checked how well the home was prepared to prevent and control COVID-19 infections.

Inspectors found that staff used personal protective equipment correctly and had training and competency checks. Visitors were limited, tested, and required to follow infection control rules.

The home was clean and uncluttered. Staff had arrangements for changing clothes, putting on and removing protective equipment, and checking temperatures. Infection control audits and daily staff observations were also completed.

The service was inspected but not rated. This means the inspection did not give an overall quality rating or a rated judgement about the other areas of care.

What inspectors praised
  • Staff infection control training

    Staff were trained to put on and remove protective equipment and in infection control. Their practice was checked through competency assessments.

    “Staff received inhouse training for donning and doffing and infection control, this was followed up with competency assessments to ensure staff followed best practice guidelines.” from the report
  • Visitor safety measures

    Only essential visitors were admitted. Visitors had to take a lateral flow test and follow the home's infection control procedures.

    “Only essential visitors were admitted within the home, they were required to take a Lateral Flow Test (LFT) this gives a quick COVID-19 result and all visitors were required to follow the infection control protocols in place.” from the report
  • Clean environment

    Inspectors found the building clean and free from clutter. High-touch areas such as door handles were cleaned regularly.

    “The building looked clean and free from clutter. appropriate cleaning products were used, to ensure good infection control was maintained.” from the report
  • Checks and planning

    The home completed regular infection control audits and daily staff observations. It also had a folder covering what to do in different situations, including an outbreak.

    “The registered manager had compiled a COVID-19 folder that covered what to do in variable situations for example an infection outbreak.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How often are staff still assessed as competent in putting on and removing protective equipment?
  2. 02What are the current rules for visitors, including testing and infection control measures?
  3. 03How often are infection control audits and staff observations completed, and what happens if a problem is found?
  4. 04What is the home's current plan for managing an infection outbreak?
  5. 05How does the home keep its infection prevention and control policy up to date?

This was an unannounced targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide ratings for the other areas of care. This explanation was written from the published report of 19 February 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Fair Haven Care Home

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Fair Haven Care Home →

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Fair Haven Care Home →

  3. August 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. June 2015

    Registered with the Care Quality Commission on 3 June 2015.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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