102 Faircross Avenue

Updated 10 February 2024

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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

102 Faircross Avenue is a ‘care home’ in which people 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.

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 reviewed the information we already held about the service. This included feedback from professionals and notifications. A notification is information about important events, which the provider is required to tell us about by law. 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 the registered manager, the director and 1 member of staff. We also spoke with 3 people living in the home and 1 relative. We reviewed documents and records that related to people’s care and the management of the service. We reviewed 3 people’s care plans, which included risk assessments. We looked at other documents such as medicine management, staff training and recruitment and infection control records. After the inspection we continued to seek clarification and validate evidence found.

Updated 10 February 2024

About the service

102 Faircross Avenue is a care home registered to provide personal care to people, aged 18 years and over, who may have mental health needs, people with learning disabilities or autistic people. It can support up to 3 people. At the time of the inspection, 3 people were living at the home. The home has two floors with adapted facilities and en-suite rooms.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Right Support

The service was safe. Medicines were managed safely. People received their medicines as prescribed. Systems and processes to protect people from the risk of abuse were in place. Risks to people’s safety were assessed. Staff followed infection control procedures and people were protected from the risk of infections. 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. The home was suitably staffed but we have made a recommendation for the provider to review arrangements so that people had more flexibility and choice to go out when they wanted.

Right Care

People and relatives told us staff were kind and caring. People's dignity, privacy and human rights were respected. People were encouraged to maintain a healthy balanced diet and were provided food and drink that met their preferences and needs. Staff had received training and development to maintain their skills and knowledge. Staff knew people who used the service well and they provided care and support to them in a kind and compassionate way. Care plans were informative and provided guidance on how to support people, in accordance with their choices and communication needs. People pursued their interests and hobbies and met with friends and family to prevent social isolation. People and their relatives could approach staff and the registered manager with any concerns.

Right Culture

Leaders and the culture they created supported the delivery of quality care. Staff respected people as individuals and equality, diversity and inclusion was promoted in the home. The provider had systems in place to assess, monitor and improve the quality and safety of the services. People and relatives were contacted for their feedback about the service. People were positive about the care and support they received. Staff told us they were supported by the registered manager and received supervision to discuss their performance.

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 the service was Good (report published 31 January 2018).

Why we inspected

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.