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What the CQC found at Farthings Residential Care Home

Goodpublished 7 May 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
There were enough staff, medicines were managed safely, and accidents and incidents were reviewed. Inspectors found an unlocked cupboard containing hazardous liquids, garden rubbish and pallets that could cause injury, and cleaning schedules that needed updating.
Effective?
Good
People's needs and choices were assessed and recorded. Staff received induction, training and supervision, and worked with health professionals to support people's health.
Caring?
Good
Inspectors saw respectful and compassionate interactions. People were supported to make choices, remain independent and have their privacy, dignity, equality and beliefs respected.
Responsive?
Good
Care plans reflected people's wishes, interests and communication needs. People were supported to maintain relationships, take part in activities and raise concerns.
Well-led?
Good
Inspectors found strong leadership and effective systems for checking quality and safety. The home listened to people and families and made changes when suggestions were raised.
The latest report, explained

What inspectors found, May 2022

Farthings Residential Care Home is rated Good; inspectors found kind, person-centred care, with some safety and cleaning issues needing attention.

The inspection covered all five CQC areas. Inspectors spoke with five people living in the home, seven relatives, two care staff and the registered manager. They reviewed care plans, staff records, medicines records and quality checks.

Overall, the home was rated Good for being safe, effective, caring, responsive and well-led. People and relatives said they felt safe and well cared for. Staff were described as kind, respectful and knowledgeable, and people were involved in choices about their care.

Inspectors found enough staff, safe medicines systems, suitable training and good links with health professionals. They also found that people had personalised care plans, support to maintain relationships and interests, and opportunities to influence the home.

There were some issues to put right. A cupboard containing hazardous liquids was unlocked, building rubbish and wooden pallets were accessible in the garden, and cleaning schedules did not cover all areas clearly. The manager said these points would be dealt with, and evidence showed the garden rubbish was removed and the cleaning schedules were updated after the inspection.

What inspectors praised
  • Kind and respectful care

    People and relatives said staff knew them well and were kind and caring. Inspectors observed respectful interactions and support for privacy.

    “We observed many respectful and compassionate interactions during the inspection.” from the report
  • Personalised choices

    Care plans included people's likes, dislikes, routines and preferences. People were supported to choose things such as when to get up, what to wear and when to go to bed.

    “People had care plans that identified their wishes, likes, dislikes and personal life history.” from the report
  • Safe medicines and staffing

    Inspectors found enough staff to meet people's needs and found that medicines were given as prescribed, stored securely and recorded correctly.

    “Medicines administration records (MAR) were correctly completed with no gaps.” from the report
  • Good health support

    Staff worked with doctors, nurses and other professionals when people needed support. Care records were reviewed and professional advice was followed.

    “Staff worked closely with other professionals.” from the report
  • Responsive leadership

    The home acted on people's views and made prompt changes, including helping a person move rooms on the day they requested it.

    “The discussion took place and prompt action was taken to support the person to move the same day.” from the report
What inspectors were concerned about
  • Unlocked hazardous liquids

    serious

    A cupboard containing hazardous liquids was not locked, so people could access the area. The manager said this would be addressed immediately.

    “A cupboard that contained hazardous liquids was not locked and people had easy access to the area.” from the report
  • Unsafe garden area

    serious

    Building rubbish and old wooden pallets were left in an unsecured garden area, creating a possible injury risk. The report says the rubbish was removed after the inspection.

    “There was also an area in the garden which had building rubbish and old wooden pallets.” from the report
  • Cleaning schedules

    needs fixing

    The home was clean, but the schedules did not clearly identify all areas and surfaces that needed cleaning. The manager reviewed and updated them after the inspection.

    “The cleaning schedules were not robust to identify all areas and surfaces to be cleaned.” from the report
  • Staff records under review

    minor

    The provider had identified some gaps in the information held in staff files. A system was being used to check that the required documents were present.

    “Staff files were under review as the provider had identified some shortfalls in the information stored.” from the report
Questions to ask them, based on this report
  1. 01How do you now keep cupboards containing hazardous liquids locked and check that they remain secure?
  2. 02How do you check that garden areas are free from rubbish, pallets and other hazards?
  3. 03How often are the updated cleaning schedules reviewed, and how do you make sure every area and surface is covered?
  4. 04What information was missing from staff files, and has every staff file now been completed?
  5. 05How are people and their families involved when care plans, activities or end-of-life wishes are reviewed?

This was the first inspection of the newly registered service and assessed all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 7 May 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.

The story over the years

Every inspection of Farthings Residential Care Home

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. May 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Farthings Residential Care Home →

  2. March 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. May 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. April 2020

    Registered with the Care Quality Commission on 7 April 2020.

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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