CQC report explained · a residential care home
What the CQC found at Fairview
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and staff understood safeguarding procedures. Risks, fire safety, medicines, infection control, staffing and accident reporting were checked and found to be managed safely.
- Effective?
- Good
- This key question was not rated in this inspection report.
- Caring?
- Good
- This key question was not rated in this inspection report, although inspectors observed respectful and supportive interactions.
- Responsive?
- Good
- This key question was not rated in this inspection report. The report says people received individual support and were involved in care reviews.
- Well-led?
- Good
- The home had a management structure, quality checks, contingency plans and systems for receiving feedback. Staff understood their roles and said they could raise issues and make suggestions.
What inspectors found, September 2023
Fairview was rated Good; inspectors found safe, respectful care and stronger staffing, but this was a focused inspection.
Inspectors visited unannounced on 21 and 22 June 2023. They spoke with people living at the home, staff, relatives and health and social care professionals. They also checked care records, medicines records, recruitment files, audits and other documents.
The home was rated Good overall. Safe was rated Good, improving from Requires Improvement at the previous inspection. Well-led remained Good. Inspectors found that people were protected from abuse, risks were assessed, medicines were managed safely and there were enough staff.
Inspectors found a calm home where staff treated people with respect, supported their choices and promoted independence. The management team had systems to monitor quality, respond to incidents and involve people and relatives in care decisions.
Safe staffing
Inspectors found enough staff to keep people safe. Staffing levels had increased since the previous inspection, helping staff provide support consistently.
“Staffing levels had been increased since we last inspected, which helped staff deliver support consistently.” from the report
Respectful support
The home had a calm atmosphere. Staff supported privacy, dignity, choice and independence.
“There was a relaxed atmosphere in the home where staff were respectful and supportive in their interactions with people.” from the report
Good management systems
The manager and provider used audits and other checks to identify improvements. Staff had access to support outside office hours.
“The registered manager and the provider used the quality assurance arrangements in place to identify areas for improvement.” from the report
Safe medicines practice
People received medicines on time and as prescribed. Staff had training and competency checks, and medicines audits were carried out.
“People received their medicines on time and as prescribed. Systems in place ensured the safe administration of medicines.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure my relative's care plan and risk assessments are reviewed when their needs change?
- 02How many staff are usually on duty, and how do you increase staffing when people need extra support?
- 03How do you check that medicines are recorded correctly, especially where previous recording gaps have been found?
- 04How will you support my relative's choices, independence, cultural or religious preferences and access to activities?
- 05What were the findings from the last comprehensive inspection for Effective, Caring and Responsive?
This was a focused inspection covering Safe and Well-led; Effective, Caring and Responsive were not rated in this report. This explanation was written from the published report of 20 September 2023 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.
What inspectors found, May 2021
Inspected but not rated; inspectors found strong COVID-19 infection controls, with a concern about handwashing facilities.
This was a targeted inspection on 17 February 2021. Inspectors checked how the home was preventing and controlling infection after a recent COVID-19 outbreak. The visit was announced.
Inspectors found good practice in visitor screening, PPE, testing, cleaning, staff training and safely admitting new residents. The home had updated its infection control policy and had identified learning from the outbreak.
The home was inspected but not rated. Inspectors were assured about most infection control arrangements, but were only somewhat assured about the safety of the building layout and hygiene practices because some toilets did not have a sink in the same room.
Visitor safety
Visitors were screened for COVID-19 symptoms, given PPE and required to take a test before entering. The home also had a separate garden access for visits.
“All visitors were screened for symptoms of COVID-19 and were provided with Personal Protective Equipment (PPE)” from the report
Cleaning and PPE
Inspectors saw staff using PPE correctly and found adequate supplies. The home was clean and tidy, with regular cleaning recorded and frequent-touch surfaces cleaned continuously.
“The home was clean and tidy and staff had systems to ensure all areas, particularly shared bathroom areas were regularly cleaned” from the report
Testing and admissions
People and staff had access to regular COVID-19 testing. New residents were admitted only after a negative COVID-19 test.
“New admissions to the home was completed in line with COVID-19 guidance. People were only admitted following a negative COVID-19 test result.” from the report
Learning from the outbreak
The home had experienced a recent outbreak but had identified areas for learning and put them into practice. Its infection control policy and contingency plan had been updated as guidance changed.
“Areas for learning and improvement had been identified from the outbreak and had been adopted since the outbreak.” from the report
Toilet handwashing facilities
needs fixingSome toilet facilities did not have a sink with water in the same room. This meant people might not have immediate access to handwashing if nearby bathrooms were being used.
“However, toilet facilities did not have a sink with water located within the same room.” from the report
- 01Have more handwashing facilities been installed in or near the toilets since the inspection?
- 02How is the home checking that lessons from the recent COVID-19 outbreak are still being followed?
- 03What are the current arrangements for visiting, including visitor screening, testing and PPE?
- 04How often are people and staff tested for COVID-19, and how are new admissions tested?
- 05How does the home check that staff remain competent in infection prevention and control?
This was a targeted inspection of infection prevention and control after a recent COVID-19 outbreak; it did not provide ratings for the other areas of care. This explanation was written from the published report of 18 May 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.
Every inspection of Fairview
5 rated inspections over 9 years: the service has held its Good rating throughout.
- September 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2021Inspected but not ratedSafe: Inspected but not rated
- December 2018Goodstayed GoodSafe: Requires improvementWell-led: Good
- March 2017Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016Requires improvementdown from GoodSafe: Requires improvement
- February 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- April 2016
Registered with the Care Quality Commission on 13 April 2016.
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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At least 100 live-in carers within about an hour of Enfield
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 £1,260 a week. 79 can care for a couple. 11 years' experience on average.
“Over the time he spent with them he got to know our parents very well and became like part of the family, even joining in family celebrations.”
“Charity would take Nan on holidays day trips and shopping adventures”
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