Far Fillimore Rest Home

Updated 21 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of an operations manager, an inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Far Fillimore is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Far Fillimore is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with 6 people who used the service and 1 relative about their experience of the care provided. We had correspondence with 1 professional who had contact with the service. We spoke with 4 members of staff including the registered manager.

We reviewed a range of records. This included 4 people's care plans, a range of medicine administration records (MAR) and 4 staff recruitment files. We viewed a variety of records relating to the management of the service including audit systems. We spent time observing the care that people received within the home.

Updated 21 December 2023

Far Fillimore is a residential care home providing accommodation and personal care to up to 26 older people, some of whom were living with dementia. At the time of our inspection there were 20 people using the service.

People’s experience of the service and what we found:

People were not always safeguarded from the risk of abuse and action was not always taken to mitigate the risk of harm to people following incidents and accidents. Systems in place did not support continuous learning. People’s risk assessments were not always followed, and this put them at risk.

The environment was not always safe for people. Window restrictors did not meet health and safety guidance and safety checks were not always undertaken on a regular basis. Although the home was clean, there was a malodour in the ground floor bedroom corridor.

Quality monitoring systems had not ensured that the service was safe. The registered manager undertook monthly audits, however these were not effective in analysing trends and identifying improvements.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The last rating for this service was Good and the report published on 23 April 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can see what action we have asked the provider to take at the end of this full report

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Far Fillimore on our website at www.cqc.org.uk.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.