Archived: Fairdene Lodge

Updated 26 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, 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 completed by one inspector.

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.

Service and service type:

Fairdene Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Fairdene Lodge is registered to provide care for 32 people, and 32 people were living at the home at the time of the inspection.

Notice of inspection:

This inspection was unannounced.

What we did:

Before the inspection we used information, the provider sent us in the Provider Information Return.

Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We looked at information we held about the service including notifications they had made to us about important events. Notifications are information about important events the service is required to send us by law. We spoke with four health and social care professionals.

During the inspection we spoke with two people receiving support, two relatives of people receiving support, a health and social care professional, the provider, operations manager, registered manager, trainee manager and three staff. 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 inspected four people's care records, three staff recruitment files, records of accidents, incidents and complaints and other records relating to the running of the service.

Following the inspection, we spoke with three relatives of people receiving support.

Updated 26 June 2019

About the service: Fairdene Lodge is a residential care home that was providing personal and care to 32 people aged 65 and over, most of whom were living with dementia, at the time of the inspection.

People’s experience of using this service:

The provider had not ensured that we were notified of all safeguarding incidents and when people had been deprived of their liberty, which they are required by law to do.

The quality assurance system had not identified all areas for improvement. However, the provider had recognised that improvements to this system were needed and were in the process of changing to a new system.

People and their relatives told us they were safe and well looked after. Staff understood how to identify and report any concerns about people’s safety. Risks to people were considered and appropriate measures put in place to reduce risks.

People were treated with kindness and compassion and their emotional needs were met. Staff respected people’s privacy and dignity and encourage independence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service did not always support recording of this practice. When other people held legal powers to make decisions on behalf of people, this was known by staff.

The home had been redecorated to meet the needs of people living with dementia. This included signs to help people move independently around the home. Staff had worked with dementia specialists to consider the decoration and design of the home.

People’s medicines were managed safely. People’s health care needs were supported, and staff worked in partnership with health and social care professionals to ensure people received the right support. The home was kept clean and tidy and staff understood how to prevent the spread of infection.

People enjoyed the food on offer and mealtimes were social occasions. People also spent time pursuing activities both in and outside the home. People’s interests and life histories helped staff identify activities and outings they would enjoy.

People were assessed before moving into the home, and their relatives were included as appropriate. Care plans included information on what people liked to do, and their histories, as well as information about how to keep them safe and well.

Rating at last inspection: At the last inspection the service was rated Good. (1 March 2016)

Why we inspected: This was a planned comprehensive inspection.

Enforcement: There was a breach of the Care Quality Commission (Registration) Regulations 2009. Please see the 'action we have told the provider to take' section towards the end of the report.

Follow up: We will continue to monitor the intelligence we receive about this service and plan to inspect in line with our re-inspection schedule.