Faith House Residential Home

Updated 10 January 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.

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 one inspector.

Service and service type

Faith House Residential Home 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

A home manager also helped to manager the home. On the day of the inspection the home manager supported the inspection. Through the report we refer to them as the manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the findings from the last inspection of 17 June 2021 to help plan the inspection and inform our judgements.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with four people who lived at the home and one relative.

We spoke with the manager and three staff.

We reviewed a range of records. This included three people’s care records, medication records, two staff files in relation to their recruitment, maintenance records and a variety of records relating to the management of the home.

Updated 10 January 2023

Faith House Residential Home provides personal and nursing care for up to 10 people. At the time of the inspection, 10 people were living at the home.

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

The provider had failed to identify or act to mitigate the risks to people. We identified through our inspection that the home did not have safe staffing levels during the night. Some people the staff cared for required two staff to safely support them. Only one night staff worked during the night with one staff member on call.

Systems to monitor and audit the home were not effective and had not identified the improvements that were required. The provider visited the home, but no formal audits had been completed which would have helped to identify any shortfalls and to monitor any actions identified. Quality assurance systems were not robust.

Staff were trained to recognise signs of abuse or risk and understood what to do to safely support people. People had risk assessments in place which meant peoples' safety and well-being was promoted. The home was clean and tidy. There were enough staff to meet people's needs. Safe recruitment practices had been followed before staff started working at the service. Accidents and incidents were recorded, and lessons learnt to prevent reoccurrences. Medicines were safely administered to people by appropriately trained staff, who had been assessed as competent.

Staff received regular support to help them carry out their role. The annual training programme equipped staff with essential skills and knowledge. Arrangements were made for people to see a GP and other healthcare professionals when they needed to do so. 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.

Staff were caring, and people were treated with kindness and respect. Staff knew people well and understood how to communicate with them. People's privacy was respected, and their dignity and independence promoted. Staff had a good awareness of individuals' needs and treated people in a warm and respectful manner.

Rating at last inspection

The last rating for this service was good (published 13 August 2021). At this inspection the rating had changed to requires improvement.

Why we inspected

This service was registered with us on 21 January 2020 and this was the first full inspection of the five key questions to formally rate the home. We undertook a focused inspection of the home 17 June 2021 to check the service was safe and well-led which we rated good.

We have found evidence that the provider needs to make improvements. We have identified some shortfalls relating to managing risks to people’s safety, the staffing levels at night and around good governance. Please see the safe and well-led sections of this report.

You can read the report from our last inspection, by selecting the ‘all reports’ link for Faith House Residential Home on our website at www.cqc.org.uk

Follow up

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.