Farway Grange Care Home (Nursing)

Updated 14 June 2022

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 two inspectors.

Service and service type

Farway Grange Care Home (Nursing) 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. Farway Grange Care Home (Nursing) is a care home with nursing care. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority service improvement and safeguarding teams who work with the service. The provider was not asked to complete a Provider Information return (PIR0 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. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and one relative about their experience of the care provided. We spoke with nine members of staff including the registered manager, deputy manager, senior care staff and the chef. We requested written feedback from five health and social care professionals who work with the home. 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 reviewed a range of records. This included four people's care and support records and their medication administration records. We looked at three staff files in relation to recruitment, staff supervision and training. We reviewed a variety of records, policies and audits relating to the management and governance of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 14 June 2022

About the service

Farway Grange Care Home (Nursing) is a ‘care home’ that is registered to provide personal and nursing care to a maximum of 25 older people. The home provided care to older people across three floors accessed via stairs or a lift. At the time of our inspection there were 20 people living at the service.

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

There was a friendly, calm and welcoming atmosphere at Farway Grange Care Home (Nursing). Staff knew people and their health needs well. Potential risks to people’s health and welfare had been assessed and regularly reviewed.

People told us they felt safe living at Farway Grange and told us the staff supported and cared for them well. Staff spoke knowledgably about the system for reporting any potential signs of abuse.

The service had an ongoing programme of staff recruitment, at the time of the inspection the service had adequate levels of staff to ensure people were cared for safely. Staff told us they enjoyed working at the home and felt well supported at all times. Staff received appropriate training and completed regular supervision sessions.

Medicines were managed safely, stored securely and administered by trained staff. People received assistance to take their medicines as prescribed.

The service was compliant with guidance and safe processes relating to COVID-19. Infection control procedures were managed well within the service and staff had received training.

People told us they enjoyed their meals, one person told us, “The food here is absolutely top class.” Individual menus and diets were catered for and snacks of people’s choice were available throughout the day.

People received person centred care which suited their individual health needs and reflected their wishes and choices. People were cared for safely whilst maintaining and promoting their independence and well-being.

Staff supported people to communicate in ways they preferred. People were included and involved in decisions about their care, support and day to day lives.

People told us they enjoyed living at Farway Grange, that staff were kind, caring and patient. One person said, “The carers are all good, kind people…I’m happy here.” Staff supported people with dignity and respect and spoke knowledgably about ensuring people maintained their independence.

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 provider had a clear complaints policy and information explaining how to complain was on display. People knew how to complain and felt they would be listened to, although they told us they had not yet had to complain.

There was an activities member of staff who provided people with a range of activities to keep them active and involved if they wished. Some people told us they preferred not to take part and their wishes were respected.

There was an effective governance system in place. There were a variety of action plans, audits, policies, spot checks, systems and procedures to monitor the quality and safety of the service. These ensured a culture of continuous improvement and learning took place and highlighted any potential shortfalls to improve the safety and quality of care people received.

People, relatives and staff felt the service was well led. Staff spoke positively regarding the registered manager and management team and were committed and motivated to delivering quality person-centred care to people.

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 this service under the previous provider was good, published on 29 September 2017.

Why we inspected

This was a planned inspection.

Follow up

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