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CQC report explained · a residential care home

What the CQC found at Fairfield Country Rest Home

Goodpublished 15 November 2022, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, suitable safety checks, safeguarding systems and safe medicine arrangements. They noted that staff application forms did not always give full details about previous employment.
Effective?
Good
People's needs were assessed, staff were trained and supported, and the home worked with healthcare professionals. People were supported with food, drink, healthcare and decisions about their care.
Caring?
Good
Staff treated people with kindness, dignity and respect. Inspectors saw care that reflected people's histories, interests, relationships and wishes, including at the end of life.
Responsive?
Good
Care plans recorded people's preferences and routines. People were supported with activities, communication and relationships, although daily notes focused mainly on tasks and contained little about emotional wellbeing.
Well-led?
Good
The management team was approachable and clear about responsibilities. People, relatives, staff and healthcare professionals said their views were listened to, and the home worked with other services to improve care.
The latest report, explained

What inspectors found, November 2022

Rated Good; inspectors found safe, kind and personalised care, with some records needing improvement.

This was an unannounced inspection on 13 September 2022. Inspectors spoke with people living in the home, relatives, staff and healthcare professionals. They looked at care plans, medicine records, staff files, training records and other documents.

Inspectors found enough staff, safe medicine systems and good infection control. People were treated with kindness and respect. Staff knew people's preferences and supported relationships, activities, healthcare and end of life care.

The home was well managed and had a friendly, community atmosphere. Inspectors noted that some staff application forms did not include full previous employment details, and daily care notes did not say enough about people's emotional wellbeing. The overall rating and all five areas were Good.

What inspectors praised
  • Enough staff

    Inspectors found that staffing levels met people's needs. Any gaps were covered by staff who already knew the people living in the home.

    “There were enough staff to meet people's needs and preferences.” from the report
  • Kind and respectful care

    Staff were polite, patient and attentive. Inspectors saw a caring approach that protected people's dignity and comfort.

    “A caring and kind approach from all staff was apparent and embedded in the culture of the home.” from the report
  • Personalised support

    Staff knew people's histories, preferences and interests. They made extra efforts to help people feel at home and maintain important relationships.

    “Managers and staff went out of their way to support people in ways which reflected their personal interests and focused on the things that mattered to them.” from the report
  • Activities and relationships

    People could join in activities such as yoga, games, quizzes and gentle exercise. The home also helped people keep in touch with relatives during difficult periods.

    “People were supported to maintain relationships that mattered to them.” from the report
  • Good leadership

    Inspectors found clear responsibilities and an approachable management team. There was a friendly atmosphere and a strong sense of community.

    “There was a sense of community within the service, staff and people interacted in a friendly and supportive manner.” from the report
What inspectors were concerned about
  • Incomplete employment histories

    minor

    Some staff application forms did not contain full details of applicants' previous employment. The provider agreed to address this in future recruitment.

    “Application forms did not always give full details in relation to applicants' previous employment.” from the report
  • Daily notes lacked detail

    needs fixing

    Daily care records mainly listed tasks completed and gave little information about people's emotional wellbeing. Managers said they were considering how to improve these records.

    “These records lacked detail, focusing on the tasks completed with little information in relation to people's emotional well-being.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to ensure daily notes record people's emotional wellbeing as well as completed tasks?
  2. 02How do you now check that staff application forms contain full details of previous employment?
  3. 03How do you maintain staffing levels when there are gaps, and how does the twilight shift work?
  4. 04How would you support my relative's personal routines, interests and important relationships?
  5. 05How would you support my relative if their health declined or they needed end of life care?

This was an unannounced inspection of the whole care home, covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 15 November 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.

The story over the years

Every inspection of Fairfield Country Rest Home

4 rated inspections over 7 years: the service has held its Good rating throughout.

  1. November 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Fairfield Country Rest Home →

  2. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
  3. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
  4. September 2015Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
  5. July 2021

    Registered with the Care Quality Commission on 15 July 2021.

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.

Next steps

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Care at home

10 live-in carers within about two hours of Cornwall

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,200 a week. 8 can care for a couple. 12 years' experience on average.

“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
Karen S., about Nicola H.
See live-in carers near CornwallProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.