Archived: Farway Grange Care Home (Nursing)

Updated 28 September 2017

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This unannounced comprehensive inspection took place on 7 and 8 September 2017 and was completed by one Care Quality Commission inspector.

Before our inspection, we reviewed the information we held about the service. This included information about incidents the provider had notified us of. We also asked the local authority who commissions the service for their views on the care and service given by the home.

During the two day inspection we met all of the people who lived at the home and spoke to those who wished to speak with us. We also spoke with the manager, the deputy manager, three visiting relatives, four members of care staff, two cooks and one housekeeping member of staff. We observed how people were supported and looked in depth at three people’s care and support records.

We also looked at records relating to the management of the service including; staffing rota’s, incident and accident records, training records, recruitment records for three members of staff, supervision and appraisal records for a further three staff, meeting minutes and a large selection of the medication administration records. We reviewed audits and quality assurance records as well as a range of the provider’s policies and procedures.

We reviewed the service’s Provider Information Return (PIR) before our inspection. This is a form that asks the provider to give us some key information about the service, what the service does well and improvements they planned to make.

Updated 28 September 2017

This unannounced comprehensive inspection took place on 7 and 8 September 2017. This was the first Care Quality Commission inspection the service had received since the provider changed their registration.

Farway Grange Care Home provides accommodation, personal care and nursing care for up to 25 older people. At the time of the inspection 23 people were living at the home. The home had a registered manager in post. 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 told us they felt safe living in the home. The provider had suitable processes in place to safeguard people from different forms of abuse. Staff had completed training in safeguarding people and were knowledgeable about the different types of abuse and knew the correct process for raising concerns if they should observe any form of abuse.

There was a system in place to ensure accidents and incidents were recorded and analysed. This meant any trends and patterns could be identified and preventative measures put in place where required. Incidents and accidents were regularly discussed at staff meetings and staff were encouraged to share their views on how to address any concerns.

The provider had a range of systems in place to protect people from risks to their safety. These included premises and maintenance checks, regular servicing and checks for equipment such as hoists, stair lifts and all electrical equipment and risk assessments for each person living in the home.

Medicines were managed safely and stored securely. People received their medicines as prescribed by their GP. Records showed staff responsible for administering medicines had received formal medicines training to ensure they were confident and competent to give medication to people.

There were enough appropriately trained staff available on each shift to ensure people were cared for safely. Staff spent time talking and interacting with all the people in the home, knew their health needs well and told us they had enough time to do their job effectively. Staff were recruited safely in accordance with current regulations.

Staff knew people well and treated them with dignity and respect, wherever possible people and their relatives were involved in assessing and planning the care and support they needed.

The provider had a system in place to ensure staff received their required training courses. Staff were knowledgeable about their role and spoke positively regarding the induction and training they received from the provider. Staff told us they were well supported by the management team who they found very approachable and stated were always ready to listen or help if required.

The registered manager was aware of their responsibilities in regard to the Deprivation of Liberty Safeguards (DoLS). These safeguards aim to protect people living in care homes and hospitals from being inappropriately deprived of their liberty.

People had access to a range of health care professionals to help maintain their health. A varied and nutritious diet was available for people, which took into account their dietary needs and preferences so that their health was promoted and choices respected.

There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. People’s views on the service were regularly sought and people told us they felt they were listened to and any concerns would be dealt with straight away. People knew who to speak to if they had concerns or worries.