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.
What inspectors found, March 2022
Fairview: inspected but not rated; infection controls were mostly assured, but some areas needed better cleaning.
The CQC made an unannounced, targeted inspection on 9 March 2022. It looked at infection prevention, visiting arrangements and whether COVID-19 staffing pressures affected people.
The home had suitable arrangements for visitors, including symptom checks, personal protective equipment and testing. People were supported to go into the community while reducing infection risks. Information about preventing infections was available in formats people could understand.
Inspectors found that some areas were not thoroughly clean or hygienic. They said improvements were needed in the layout and hygiene practices of the home. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor safety
Visitors were screened for symptoms before entering. The home followed the COVID-19 vaccination requirements that applied at the time.
“All visitors were screened for symptoms of acute respiratory infection before being allowed to enter the home.” from the report
Community access
People could go out into the local community with measures intended to reduce infection risks.
“People were supported to go out into their local community in a way that mitigated the risk of catching and spreading infection.” from the report
Clear information
The home displayed information about preventing infections in formats suitable for people with different communication needs.
“The information was available in a format that can be easily understood by people with a variety of communication needs.” from the report
COVID-19 controls
Inspectors were assured about the use of protective equipment, testing, safe admissions and managing possible outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Cleaning and hygiene
needs fixingSome areas of the home were not thoroughly clean or hygienic. Inspectors said improvements were needed in the layout and hygiene practices.
“We observed that some areas of the home were not thoroughly cleaned or hygienic.” from the report
- 01Which areas were found not to be thoroughly clean or hygienic, and what was done to put this right?
- 02How is cleaning checked now, and how are any problems recorded and followed up?
- 03What checks are visitors required to complete now before entering the home?
- 04How does the home support people to go into the community while managing infection risks?
- 05How does the home manage staffing pressures linked to COVID-19?
This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not assess the other four questions or provide an overall rating. This explanation was written from the published report of 30 March 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.
What inspectors found, July 2018
Fairview was rated Good overall, but inspectors found gaps in end-of-life planning and care records, so Responsive requires improvement.
This was an announced, comprehensive inspection on 16 May 2018. Inspectors spoke with relatives, staff, managers and a healthcare professional. They reviewed records for five people, staff recruitment files, training, rotas, complaints and quality checks. They could not speak directly with residents because of their varying ability to communicate verbally.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found enough staff, safe medicines management, suitable training, kind care and strong management oversight. People were supported to make choices, stay independent and take part in activities.
Responsive was rated Requires Improvement. End-of-life wishes had not been properly discussed or recorded. Some care records had not been updated or archived, which could cause confusion and inconsistent support. The home said it planned to move records to an electronic system and improve end-of-life planning.
Safe staffing and medicines
Inspectors found enough staff to support people, including support for community access and continuous supervision where needed. Medicines were stored, recorded and checked safely.
“There were enough staff to keep people safe, respond to their needs and to support them accessing the community.” from the report
Kind and respectful care
Staff built positive relationships, respected privacy and supported people to make everyday choices and remain as independent as possible.
“Staff were caring, treated people with dignity and respect and listened to what they had to say.” from the report
Personalised support
Support plans included people's routines, preferences, interests and health needs. Staff used communication methods suited to each person.
“People had detailed and personalised support plans in place that informed staff how they wished to be supported.” from the report
Management and improvement
Inspectors found clear management oversight, staff development and regular checks of care quality. The provider reviewed incidents and shared learning.
“Robust quality assurance processes were in place that ensured people continued to receive good quality care and support.” from the report
End-of-life wishes were not recorded
needs fixingThere were no end-of-life support plans, even though questionnaires had been sent to relatives in 2014. This meant people's wishes and rights might not be respected when they neared the end of their lives.
“No follow up to these questionnaires had been carried out and no end of life support plans were in place.” from the report
Some care records were out of date
needs fixingSome records were incomplete, handwritten changes had not been transferred into new plans, and older records had not been archived. Inspectors said this could confuse staff and lead to inconsistent care.
“This could lead to confusion amongst staff and lead to inconsistent care being provided.” from the report
- 01How are each person's end-of-life wishes now discussed, agreed and recorded?
- 02Have all outdated support records been archived, and how do you make sure staff only use the current plan?
- 03Has the planned electronic record system been introduced, and what checks are made to keep records complete and up to date?
- 04How do you record the induction and safety information given to new agency staff?
- 05What changes have been made to make the outside space more stimulating and interesting?
This was an announced comprehensive inspection covering all five key questions and the care and accommodation provided. This explanation was written from the published report of 13 July 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.
Every inspection of Fairview
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- June 2017
Registered with the Care Quality Commission on 6 June 2017.
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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90 live-in carers within about an hour of Nottingham
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 £1,270 a week. 73 can care for a couple. 11 years' experience on average.
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.