Background to this inspection
Updated
14 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by two inspectors and a specialist advisor with a background in nursing.
Service and service type
Fairfield Country Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and three relatives about their experience of the care provided. We spoke with nine members of staff including the provider, deputy manager, care workers and the chef.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at meeting minutes and training records.
After the inspection
We spoke with the registered manager and three relatives who regularly visited the service.
Updated
14 March 2020
About the service
Fairfield Country Rest Home is a residential care home providing personal and nursing care for up to 32 older people. At the time of the inspection there were 29 people living at the service. The service is based in in a single storey building and is in a rural setting.
People’s experience of using this service and what we found
The providers and registered manager had a strong set of values which focused on supporting people in line with their preferences and needs. They knew people extremely well and made sure their care was delivered in a way which achieved good outcomes and enabled people to live their lives as they wished. These values were shared by the staff team. People were treated as individuals and staff had a good understanding of their backgrounds, personal likes and dislikes and health needs.
There were strong links with the local community and the providers were keen to maintain and develop these links. They were pro-active in identifying any local events which people might want to attend and supporting people to do this, individually or in small groups. Community groups, neighbours and relatives and friends were invited into the service to meet people and attend fetes and barbeques.
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.
People and their relatives told us they considered the service to be safe and people’s health needs were met. Any changes in health were escalated to the relevant professional and relatives were kept informed.
Staffing levels were appropriate and staff responded quickly to any requests for support. The atmosphere was friendly and calm. We observed staff spending time chatting to people and checking on those who preferred to spend the majority of time in their room.
People received their medicines as prescribed. We identified areas for improvement in medicine records and have made a recommendation about this in the report.
Activities were provided and people were encouraged to take part in various social events, both in and outside of the home. The premises were clean and well maintained. The large gardens were accessible and there was garden furniture for people to use in the summer. A children’s play area had been developed to encourage families to visit.
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 (report published 31 August 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 re-inspection programme. If we receive any concerning information we may inspect sooner.