Farmhouse Residential Rest Home

Updated 6 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 23 February 2021 and was announced.

Updated 6 March 2021

This unannounced inspection took place on 21 November 2017. At our previous inspection in January 2017 we had found the service was not always safe, effective, caring, responsive or well led. We had found a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found that improvements had been made in all the areas and the provider was no longer in breach of Regulations.

Farmhouse Residential Rest Home provides accommodation and personal care for up to 23 people, some of whom may be living with dementia. Five places at the service were for people who required a period of rehabilitation following a stay in hospital. There were 23 people using the service at the time of this inspection.

There was a registered manager in post who supported us throughout the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were safeguarded from the risk of abuse as staff followed the local safeguarding procedures when they suspected abuse.

Risks of harm to people were mitigated through the effective use of risk assessments. Lessons were learned following accidents and incidents to reduce the risk of them occurring again.

There were sufficient numbers of suitably trained staff to meet the needs of people in a safe way. New staff were employed through safe recruitment procedures to ensure they were fit and of good character to work with people.

People's medicines were stored and administered safely. There were infection control measures in place to reduce the risk of the spread of infection.

People's needs were assessed holistically to achieve effective outcomes. People were cared for by staff who were trained and supported to fulfil their roles effectively.

People's nutritional needs were met and when people became unwell or their health care needs changed the appropriate health care advice was sought in a timely manner.

People were supported with their transition into and out of the service through information sharing and partnership work with other agencies.

The principles of the Mental Capacity Act 2005 (MCA) were followed to ensure that people who lacked the mental capacity to agree to their care and support were supported to do so in their best interests.

The building and environment was being adapted to meet the needs of people who used the service.

People were treated with dignity and respect and their right to privacy was upheld.

People were involved in the planning of their care, offered choices and encouraged to be as independent as they were able to be.

People's needs were assessed and their preferences gained. We have recommended that further information is gained about people's diverse needs through the assessment process.

There were a range of hobbies and activities to support people to maintain active and promote their well being.

People were cared for with dignity at the end of their life and were comfortable and pain free.

The provider had a complaints procedure and complaints were dealt with appropriately.

There was clear vision and strategy to provide good quality of care. The governance systems the provider had in place to monitor and improve the service were effective in ensuring improvements were made.

People, their relatives, staff and other agencies were encouraged to have a say in how the service was run. The provider worked with other agencies to ensure a holistic approach to people's care.