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CQC report explained · a residential care home

What the CQC found at Fairhaven Care Home

Goodpublished 18 January 2024, 2 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, thorough recruitment checks, safeguarding training, risk assessments and safe medicines processes. The premises were clean and safety checks were up to date.
Effective?
Good
This question was not rated in the report.
Caring?
Good
This question was not rated in the report.
Responsive?
Good
This question was not rated in the report.
Well-led?
Good
Inspectors found a positive culture, good communication with health and social care professionals, and systems for monitoring quality and safety.
The latest report, explained

What inspectors found, January 2024

Fairhaven Care Home was rated Good; inspectors found safe care, enough staff and strong management systems.

This was an unannounced inspection. The site visit took place on 7 December 2023, with inspection activity continuing until 11 December. One inspector spoke with people living there, relatives, staff, the manager, the provider and a visiting health professional.

Inspectors found the home clean and tidy, with safety checks and recruitment checks in place. They found enough staff, safe medicines processes, safeguarding training and suitable risk assessments. People said they felt safe and staff helped them remain independent.

The home was rated Good overall. Safe and Well-led were both rated Good, as they were at the previous inspection published in February 2018. The report does not give ratings for Effective, Caring or Responsive.

What inspectors praised
  • Enough staff

    Inspectors found enough staff were deployed to care for people. People said they did not have to wait for help.

    “I don't have to wait if I need someone for help or anything.” from the report
  • Safe care

    Risks were assessed and reviewed, and staff supported people to remain as independent as possible. Safeguarding processes and training were in place.

    “The registered manager and staff promoted positive risk taking to help people gain skills and live an independent life as possible.” from the report
  • Medicines

    Inspectors found medicines were given by trained staff, with records, written guidance and regular audits.

    “People received their medication safely by trained staff.” from the report
  • Quality oversight

    The management team used audits to monitor quality and safety and reported actions to the provider.

    “The management team had established systems for monitoring the quality and safety at Fairhaven Care Home.” 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 will you assess and review my relative's individual risks and support their independence?
  2. 02How do you check that medicines, including medicines prescribed as needed, are given and recorded safely?
  3. 03What staffing levels will be in place for my relative's care needs, including at busy times?
  4. 04How will you involve my relative and our family in decisions and respond to concerns or changing needs?
  5. 05How do your audits identify problems and make sure improvements are completed?

The report gives ratings for Safe and Well-led only; Effective, Caring and Responsive were not rated in this inspection. This explanation was written from the published report of 18 January 2024 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 2018

Fairhaven Care Home was rated Good; inspectors found safe, kind and personalised care, with earlier concerns addressed.

Inspectors visited on 18 January 2018. They looked at all five areas of care and spoke with people living there, relatives and staff. They also checked care records, medicines, recruitment, training, the building and the home's monitoring systems.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found staff were kind and respectful, care plans reflected people's needs, medicines were managed safely and people had access to healthcare, food choices and activities.

The home had been rated Good at its November 2015 inspection and remained Good. The previous recommendations about recruitment checks, water temperatures and storing equipment had been addressed.

What inspectors praised
  • Kind and respectful care

    Inspectors saw positive interactions and found that staff respected people's dignity, privacy, choices and individuality.

    “They have been and continue to be kind, thoughtful and respectful, I mean all the staff and the manager.” from the report
  • Safe staffing and recruitment

    Recruitment records contained the required checks, and inspectors found staffing levels were sufficient to support people.

    “We found the management team had addressed the storage of equipment concerns.” from the report
  • Medicines managed safely

    Inspectors saw medicines being stored securely, administered sensitively and recorded correctly, including controlled drugs.

    “Staff completed people's medication records in line with the National Institute for Health and Care Excellence guidelines.” from the report
  • Personalised support

    Care plans included people's needs, preferences and wishes. People and families were involved in planning and reviewing care.

    “Care plans seen and discussion with people who lived at the home and their family members confirmed they had been involved in the care planning process.” from the report
  • Choice of food and activities

    People reported good food and plenty of choice. Activities and events were organised and adapted to suit people's interests.

    “Yes definitely if you did not like something the cook would always make something you liked.” 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. 01What bedroom refurbishment has been completed since the inspection, and what work is still planned?
  2. 02How are staff kept up to date with end of life care training, including the training planned for 2018?
  3. 03How will you involve my relative and our family in creating and reviewing their care plan?
  4. 04How do you make sure activities are changed to suit each person's interests and abilities?
  5. 05How do you check current staffing levels and make sure staff have enough time to support people and talk with them?

This was a comprehensive inspection covering all five CQC questions; the home was also checked against recommendations made at the November 2015 inspection. This explanation was written from the published report of 24 February 2018 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 Fairhaven Care Home

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Fairhaven Care Home →

  2. February 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Fairhaven Care Home →

  3. January 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 10 January 2011.

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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