CQC report explained · a residential care home
What the CQC found at The Fer View Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risk assessments, staffing, recruitment, medicines and infection control were managed well, but fire evacuation procedures needed further review.
- Effective?
- Good
- People's needs were assessed and care was delivered with support from trained staff and health professionals. Their food, drinks, health care and consent were appropriately considered.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff supported people's independence and involved them in decisions about their care.
- Responsive?
- Good
- Care plans reflected people's preferences, interests and communication needs. People were supported to choose their routines, take part in activities and maintain relationships.
- Well-led?
- Good
- The home was managed openly, with the provider closely involved in care and regular checks of quality and safety. The home was working on improvements, including more complete daily records.
What inspectors found, January 2020
Rated Good; inspectors found kind, personalised care, with fire evacuation procedures needing further review.
This was an unannounced inspection on 16 and 20 January 2020. One inspector spoke with people, a relative, staff and health professionals. They also checked care plans, medicine records, recruitment files, training information and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated with kindness and supported by staff who knew their needs and preferences.
There were some areas to improve. Fire evacuation procedures needed further review, and the home needed to make sure daily records contained all information about personal care. The overall rating remained Good, the same as at the previous inspection published in July 2017.
Personalised care
Care plans recorded people's preferences, interests, communication needs and backgrounds. Staff knew people well and supported their choices.
“People received personalised care which met their needs, choices and preferences.” from the report
Good health support
The home worked closely with health and care professionals. Inspectors found that changes in people's health were communicated and acted on promptly.
“Health professionals told us the service worked well with them to ensure people received the right care to meet their health needs.” from the report
Safe medicines systems
Medicine records showed people received their medicines as prescribed, and medicine reviews took place when needed.
“Medicine administration records were used and showed people had received their medicines as prescribed.” from the report
Fire evacuation arrangements
needs fixingThe fire evacuation procedures needed further review to make sure everyone could be completely evacuated from the building. The provider had contacted the London Fire Brigade for advice.
“Fire evacuation procedures were in place, however, this required further review to ensure people were completely evacuated from the building.” from the report
Completeness of daily records
needs fixingThe home identified a need to ensure daily records contained all information about the personal care given to people. Families may wish to ask how this is now checked.
“This included the need to ensure daily records include all the information about the personal care provided to people.” from the report
- 01What changes were made to the fire evacuation procedures after the inspection?
- 02How would staff evacuate each person safely, including people with mobility or dementia-related needs?
- 03How are daily records checked to make sure all personal care provided is recorded?
- 04How are people's care plans reviewed when their needs or health change?
- 05What activities and outdoor opportunities are currently available for residents?
This was an unannounced planned inspection covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 28 January 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.
What inspectors found, July 2017
The Fer View Residential Care Home was rated Good; inspectors found safe, kind and personalised care, with a minor gap in recording food and drink amounts.
Inspectors visited unannounced on 4 July 2017. They spoke with people living at the home, a relative, the provider and senior staff. They observed care and reviewed care plans, medicines records, staff files, rotas, complaints and quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and staff were helpful and caring. Inspectors found suitable staffing, safe medicines systems, detailed risk assessments and appropriate safeguarding arrangements.
Care was described as respectful, individual and responsive. Staff supported people's choices, independence, cultural and religious needs, health needs and activities. The home had improved since the previous inspection by keeping better staffing records, meeting infection control requirements and recording medicine allergies on medicines records.
People felt safe
People told inspectors they felt safe and staff understood how to identify and report abuse or poor care. Risks were assessed and reviewed, with instructions for staff on reducing harm.
“People living at the home told us they felt safe at the home.” from the report
Safe medicines support
Inspectors found no gaps in medicines administration records. Staff were trained and had their competence checked, and known allergies were recorded.
“There were no gaps in people's MAR and they were easy to follow.” from the report
Kind and respectful care
Staff listened patiently, sought permission before care and protected people's privacy and dignity. People were supported in ways that matched their preferences.
“We saw staff asked permission from people before entering their rooms and did not rush people whilst providing care.” from the report
Personalised care
Care plans included people's histories, preferences, routines, health needs and cultural or spiritual needs. Staff could explain how they supported individuals.
“People's care plans were detailed and individualised, provided instructions to staff on how to support people to provide person-centred care.” from the report
Improvements since the last inspection
The home had corrected earlier problems with staffing records, infection control and recording medicine allergies. Inspectors found these arrangements were now in place.
“At this inspection we found the service remained Good.” from the report
Food and drink amounts were not recorded
needs fixingDaily records noted whether people ate and drank, but not how much. The provider told inspectors staff would start recording the amounts consumed.
“Although the records mentioned if people ate and drank, there was no mention on how much food and drinks people consumed.” from the report
Few visitors or community links
minorMost people did not have family or friends visiting. The provider was considering volunteers and student placements to increase visitors and community activity.
“However, most people did not have any family or friends that visited them.” from the report
- 01How do you now record the exact amounts of food and drink each person consumes?
- 02What progress has been made with recruiting volunteers or students to increase community visits?
- 03Has the remaining care plan that needed updating been completed, and how often are care plans reviewed?
- 04How do you cover staff sickness, emergencies and absences while the additional part-time staff member is being recruited?
- 05What support is now in place for the person whose continence needs had recently increased?
This was an unannounced inspection covering the overall quality of the home and all five CQC questions, with ratings remaining Good from the previous inspection. This explanation was written from the published report of 22 July 2017 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 The Fer View Residential Care Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- January 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Fer View Residential Care Home →
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Fer View Residential Care Home →
- March 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015
Registered with the Care Quality Commission on 12 May 2015.
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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Most charge £980 to £1,260 a week. 75 can care for a couple. 11 years' experience on average.
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