What the CQC found at Fairlie House

Staff received detailed training and competency checks for complex health needs and specialist equipment. Inspectors found that training was regularly reviewed and adapted to different learning styles.

“The training provided to staff was specific to the specialist skills required to meet the complex needs of the people they cared for.” from the report

Care plans covered people's physical, mental, social and personal care needs, including their history, preferences and communication methods. People and families were involved where possible.

“People received personalised care that was tailored to their unique diverse needs.” from the report

The home helped people work towards personal goals and take part in therapy, activities, outings and community life. Assistive technology was used to support communication and independence.

“People were encouraged to choose manageable goals which improved their lives.” from the report

The home worked closely with hospitals, health professionals, local authorities, commissioners and families. This helped some people leave hospital or receive care at home rather than being admitted.

“The staff team worked collaboratively in partnership with a range of organisations to improve people's life experience.” from the report

Inspectors observed warm and compassionate interactions. People were supported with privacy, dignity, choice, independence and contact with important people.

“Our observations were that staff spoke to people with warmth, kindness and compassion.” from the report

One person's records did not clearly show how often they needed repositioning or fully track skin integrity monitoring. Inspectors found no impact on the person's care and the issue was corrected during the inspection.

“We found monitoring records in relation to one person's pressure area management were not always clear or fully maintained.” from the report

The quality system had not identified some incomplete staff appraisals, difficult-to-track staff records, a missing recruitment character check and an inaccurate care plan. The home took action, but the system was still being embedded.

“Although the quality governance framework needed a little longer to embed fully to be comprehensively effective in identifying all issues.” from the report

One staff member had not completed annual medicines training and a competency assessment when due. The manager arranged an assessment and rebooked the training.

“One member of staff had not received their annual medicines training in March 2018 and their annual competency assessment which should have been conducted in June 2018.” from the report