Background to this inspection
Updated
19 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Fairview is a care home which is registered to provide accommodation and personal care for up to five people with learning disabilities. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced and took place on 17th October 2019.
What we did:
Before the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must let us know about, such as abuse; and we sought feedback from the local authority and other professionals involved with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During our inspection visit, we spoke with all the people using the service, two staff and the registered manager. No relatives visited the service on the day of inspection, but they had contributed comments to the service quality monitoring questionnaires. We observed the support provided throughout the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at records in relation to people who used the service including four care plans and medication records. We looked at four records relating to recruitment, training and systems for monitoring quality.
Updated
19 November 2019
About the service:
Fairview is a residential care home providing accommodation and personal care to people. The service specialises in providing care for people with learning disabilities. The service can support up to five people. At the time of this inspection there were five people using the service.
The service applied the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People's experience of using this service and what we found
People were involved in all aspects of the service and made suggestions on how it was run. They were encouraged to make decisions relating to their care and support; their independence was supported and promoted. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Before people came to live at the service, careful thought was given in the planning process. People who already lived at the service were involved and asked for their feedback about any potential, new admissions.
Care plans were person-centred in design and provided staff with detailed information and guidance about people's care needs and how they wished to be supported. Staff completed a range of training to enable them to deliver personalised care to people.
People were involved in all aspects of the service, from choosing and planning menus to deciding how they wanted to spend their days. Most people were encouraged to participate in the community and were supported by staff with external activities. People had access to a range of healthcare professionals and services. Positive, caring and compassionate relationships had been developed between people and staff.
People were protected from harm by staff who understood what actions to take if they suspected any form of abuse. Risks to people were identified and assessed as needed, with guidance for staff which was followed. There were enough staff to support people and help them engage with activities. Medicines were managed safely.
A range of audits measured and monitored all aspects of the service. Staff felt supported by the management team and involved in developing the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.