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What the CQC found at Fairmont Residential Limited

Outstandingpublished 30 September 2021, 5 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found comprehensive risk assessments, safe medicines systems, enough staff and suitable infection control measures. Staff understood safeguarding and how to respond to distress or changes in behaviour.
Effective?
Outstanding
This area was not inspected during this visit. Its previous rating was used in calculating the overall rating.
Caring?
Good
This area was not inspected during this visit. Its previous rating was used in calculating the overall rating.
Responsive?
Outstanding
This area was not inspected during this visit. Its previous rating was used in calculating the overall rating.
Well-led?
Outstanding
Inspectors found exceptionally strong leadership, detailed person-centred planning, robust audits and an open culture where staff, relatives and professionals could contribute.
The latest report, explained

What inspectors found, September 2021

Rated Outstanding overall; inspectors found safe care and exceptionally strong leadership.

This was an unannounced inspection on 17 August 2021. It was prompted partly by concerns about keeping people safe. Inspectors found no evidence that people were at risk of harm from that concern.

The home supported six people with learning disabilities and or autism. Inspectors found enough safely recruited staff, detailed care plans, safe medicines practice and support that promoted choice, dignity, independence and positive risk-taking. Relatives and professionals gave consistently positive feedback.

The overall rating stayed Outstanding. Safe remained Good, while Well-led improved from Good to Outstanding. The other three areas were not inspected during this visit, so their previous ratings were used in the overall result.

What inspectors praised
  • Detailed personal support

    Care plans described how each person communicated, made choices and preferred to be supported. Staff used this information in day-to-day care.

    “Care plans were extremely detailed, and person centred. Support was based around choice and promoting independence as much as possible.” from the report
  • Safe staffing and training

    There were enough staff, who were safely recruited and trained in areas including autism, epilepsy and behaviour support.

    “People were supported by enough safely recruited staff to support people living in the service.” from the report
  • Medicines managed safely

    Medicines were stored and given safely. Staff training, competency checks, stock checks and audits were used to identify problems promptly.

    “Medicines were stored and administered safely. Staff received training and had regular competency checks.” from the report
  • Strong oversight

    The home used detailed audits and reviews of incidents and distress to identify trends and make changes. The manager and operations manager provided regular oversight.

    “Governance systems were well embedded into the service.” from the report
  • Good partnership working

    The home worked closely with health and social care professionals and arranged extra support or equipment when people's needs changed.

    “The service had excellent relationships with health and social care partners.” 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 update my relative's care plan when their communication, health or behaviour changes?
  2. 02How do you decide when an as-required medicine is needed if my relative cannot ask for it?
  3. 03What training and competency checks will the staff supporting my relative have?
  4. 04How do you record and review incidents or periods of emotional distress, and how will you tell us about changes made?
  5. 05How will my relative be involved in choices, appointments and positive risk-taking if they have communication barriers?

This was a focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 30 September 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.

An earlier report, explained

What inspectors found, August 2020

Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe and effective.

This was an announced, targeted inspection on 4 August 2020. It was part of a national review of infection prevention and control in care homes during the coronavirus pandemic.

Inspectors found good examples of staff supporting people's wellbeing and keeping family contact going. This included arranging familiar activities, a family dinner by video link and support with a medical appointment.

For infection control, inspectors were assured that the home used personal protective equipment safely, followed social distancing and shielding rules, supported testing, and kept its policy up to date.

The service was inspected but not rated. This means the visit did not give an overall quality rating or full ratings for all five areas of care.

What inspectors praised
  • Personalised activities

    Staff adapted activities to people's interests and past routines, including setting up skittles for someone who used to go bowling.

    “Staff set up skittles in the garden for a person who used to go bowling each week.” from the report
  • Family contact

    Staff helped a person continue a special family tradition through a video dinner and made the occasion feel familiar.

    “Staff had organised a special dinner via Zoom for a person who had always shared this with their family.” from the report
  • Support with healthcare

    Staff planned ahead with the hospital and used different communication methods to help reduce anxiety about attending an appointment.

    “Prior to the appointment staff contacted the hospital to agree a plan and used a variety of communication methods” from the report
  • Infection control

    Inspectors were assured that the home had arrangements covering visitors, PPE, testing, hygiene, outbreaks and its infection control policy.

    “We were assured that the provider was using PPE effectively and safely.” 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 do you currently prevent visitors from catching or spreading infections?
  2. 02How do you provide and check PPE for staff, and what testing arrangements are in place?
  3. 03How do you support people who become anxious about medical appointments or leaving the home?
  4. 04How do you help residents maintain family contact and familiar activities?
  5. 05What has changed since the targeted inspection in August 2020?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide ratings for the other care areas. This explanation was written from the published report of 18 August 2020 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 Fairmont Residential Limited

4 rated inspections over 6 years: the service has improved, from Good to Outstanding.

  1. September 2021Outstandingcurrent rating
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Fairmont Residential Limited →

  2. August 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Fairmont Residential Limited →

  3. December 2019Outstandingup from Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read this report on cqc.org.uk

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

    Read this report on cqc.org.uk

  6. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. May 2011

    Registered with the Care Quality Commission on 3 May 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.

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