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CQC report explained · a nursing home

What the CQC found at Fairwinds

Outstandingpublished 12 March 2020, 6 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection control arrangements, including PPE, testing, visiting and admissions. They were not fully assured about cleanliness, the condition of some areas, or staff movement between units.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Outstanding
This question was not assessed in this targeted inspection.
Responsive?
Outstanding
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, June 2021

Inspected but not rated; inspectors found good infection controls but were not fully assured about cleanliness and staff movement between units.

This was a targeted inspection about infection prevention and control during the coronavirus pandemic. It was announced and the report gives the visit date as 3 June 2021 on its front page and 4 June 2021 in the detailed section.

Inspectors were assured about visiting arrangements, PPE, testing, social distancing, admissions and the infection control policy. They also found risk assessments for people who might be more affected by COVID-19.

Inspectors were not fully assured that all areas were clean or well maintained enough to be effectively cleaned. They also had concerns about staff moving between units. A new manager had identified many of these issues, and the provider said some were addressed immediately.

The home was inspected but not rated. This means the report does not give an overall quality rating or a rated judgement for Safe.

What inspectors praised
  • Visiting arrangements

    The home had arrangements to support relatives to visit while reducing infection risks.

    “The home had systems in place to support relatives to visit their family members, minimising the risk of infection.” from the report
  • Testing and PPE

    Staff testing was being carried out, including regular lateral flow tests, and signage guided staff on using PPE.

    “COVID-19 tests for staff were being carried out in line with guidance.” from the report
  • Risk assessments

    The home had considered the possible impact of COVID-19 on people and staff who might be at greater risk.

    “Risk assessments were in place to consider and reduce any impact to people who used the service and staff who may be disproportionately at risk of COVID-19.” from the report
  • Most infection controls

    Inspectors were assured about several important infection control arrangements, including admissions, PPE, testing and the policy.

    “We were assured that the provider was using PPE effectively and safely.” from the report
What inspectors were concerned about
  • Cleanliness and maintenance

    needs fixing

    Some areas were not clean or well maintained enough to be effectively cleaned. The provider said many of these areas were addressed immediately after the inspection.

    “We found areas of the service that were not clean or well-maintained to be able to be effectively cleaned.” from the report
Questions to ask them, based on this report
  1. 01Which areas were found to be unclean or difficult to clean, and have all of them now been repaired or cleaned?
  2. 02How is staff movement between units controlled now to reduce the possible spread of infection?
  3. 03What did the full audit and action plan identify, and what work remains outstanding?
  4. 04What evidence can you provide of progress since the inspection, including the monthly updates sent to CQC?
  5. 05How are visits, staff testing, PPE and admissions being managed under the current arrangements?

This was a targeted inspection of infection prevention and control, focused mainly on Safe; the other four questions were not assessed and no overall rating was given. This explanation was written from the published report of 30 June 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, November 2020

Inspected but not rated; inspectors found good infection control arrangements, with some further resources signposted.

This was an announced inspection on 3 November 2020. It was part of a national review of infection prevention and control in care homes during the coronavirus pandemic.

Inspectors found that staff were using personal protective equipment correctly and taking part in COVID-19 testing. The home was clean, had extra checks and supplies of protective equipment, and used consistent staff teams to help limit infection spread.

The provider was supporting staff with training and supervision. Inspectors were assured about infection control, including visitors, social distancing, admissions, testing, hygiene and managing outbreaks. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • PPE and testing

    Staff followed government guidance on protective equipment and took part in COVID-19 testing.

    “Staff were seen to be following the current government guidance in relation to the personal protective equipment (PPE) being used” from the report
  • Clean environment

    The home was clean and had extra checks to keep protective equipment available in important areas.

    “The service was clean. Additional checks were put in place to ensure there was always a supply of personal protective equipment (PPE) available in all key areas.” from the report
  • Consistent staffing

    The home used dedicated staff teams and consistent shifts to help reduce the possible spread of infection.

    “Staff worked on shifts with the same staff to limit the potential spread of infection.” from the report
  • Staff support and training

    The provider supported staff through supervision and training, including extra infection control training for delegated leads.

    “The provider was committed to supporting staff through supervisions and training to ensure they were comfortable with the work they were carrying out.” from the report
What inspectors were concerned about
  • Further development suggested

    minor

    Inspectors signposted the provider to resources to develop its infection control approach. The report does not explain which parts needed development.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What changes, if any, have been made to infection prevention and control since the inspection?
  2. 02How do you now make sure there is always enough PPE in all key areas?
  3. 03How are residents and staff currently tested for COVID-19 or other infections?
  4. 04How are staff trained and supported in infection control, including delegated leads?
  5. 05What resources did inspectors signpost, and what action was taken in response?

This was an announced thematic inspection focused on infection prevention and control under Safe; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 19 November 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 Fairwinds

3 rated inspections over 5 years: the service has improved, from Good to Outstanding.

  1. June 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Fairwinds →

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

    Read what inspectors found at Fairwinds →

  3. March 2020Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    Read this report on cqc.org.uk

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

    Read this report on cqc.org.uk

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

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 4 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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