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What the CQC found at Keychange Charity Fair Havens Care Home

Goodpublished 13 August 2024, 2 years ago

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

The latest report, explained

What inspectors found, February 2018

Keychange Charity Fair Havens Care Home was rated Good; inspectors found caring, safe care, with recruitment checks being strengthened.

Inspectors visited the home without warning on 28 November and 5 December 2017. They spoke with people, relatives, staff and health professionals. They observed care and checked care plans, medicines, staffing, complaints and management records.

The home provided care for up to 21 older people, and all 21 places were occupied during the visits. Inspectors found enough staff with suitable skills, safe medicines arrangements, individual risk assessments and clean, safe surroundings.

People described staff as kind and considerate. Inspectors found personalised care, good support with food and healthcare, activities, complaints handling and end of life planning. The home had effective systems for checking quality and making improvements.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. It had also been rated Good at the previous inspection in July 2015.

What inspectors praised
  • Kind and respectful care

    Staff were attentive to people's routines, preferences and dignity. People were involved in decisions and encouraged to remain independent.

    “There was a warm, calm and friendly atmosphere at the service where people were relaxed and staff were attentive to their needs.” from the report
  • Safe care systems

    The home assessed risks, monitored incidents and had arrangements for medicines, emergencies and infection control.

    “Risks to people's personal safety had been assessed and plans were in place to minimise these risks.” from the report
  • Personalised support

    Care plans included people's life histories, routines, communication needs and care preferences. The electronic system helped staff see current information.

    “People's care was personalised and people's care plans included information about their life histories and preferences around routines.” from the report
  • End of life care

    Staff worked with people, families and health professionals to support comfort, dignity and people's wishes at the end of life.

    “The service had many examples where they worked with people, families and other stakeholders in order to help people have dignity and comfort during their last days.” from the report
  • Responsive management

    The manager sought feedback and used it to make changes, including changes to the menu. A complaints policy was available and followed.

    “The registered manager sought feedback from people, relatives and staff to improve the quality of the service.” from the report
What inspectors were concerned about
  • Missing recruitment references

    needs fixing

    Some staff recruitment files did not contain references from previous employment. The manager had started obtaining the missing documents and introduced extra checks for new staff.

    “The registered manager had identified discrepancies in some staff's recruitment files, which meant they did not contain all the necessary recruitment documentation” from the report
  • Permanent staff vacancies

    minor

    There were vacancies for permanent staff at the time of inspection. Existing staff worked extra hours and agency staff filled gaps, although inspectors found there were enough staff to meet people's needs.

    “At the time of inspection there were vacancies for permanent staff.” from the report
Questions to ask them, based on this report
  1. 01Have all staff recruitment files now been checked and given the required references from previous employment?
  2. 02How many permanent staff vacancies are there now, and how often are agency staff used?
  3. 03How will you make sure agency staff know each person's current care needs and preferences?
  4. 04How are people's feedback and complaints recorded, reviewed and used to make changes?
  5. 05How are individual end of life wishes discussed, recorded and updated with families?

This was an unannounced inspection of all five CQC areas, and the previous inspection in July 2015 had rated the home Good. This explanation was written from the published report of 9 February 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.

The story over the years

Every inspection of Keychange Charity Fair Havens Care Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. February 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Keychange Charity Fair Havens Care Home →

  2. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2011

    Registered with the Care Quality Commission on 15 February 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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