Keychange Charity Fair Havens Care Home

During this assessment we looked at 3 quality statements in the key question of safe. We found concerns in 2 of the 3 quality statements, where breaches of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were identified. The overall rating for this key question combines scoring from quality statements we looked at during this assessment and quality statements scores in line with findings from our last inspection, where the service was rated good.

People did not always receive their medicines as prescribed, and medicines administration records were not accurately maintained. Care planning around people’s medicines did not always contain person specific instructions or information related to their health and medical conditions. Systems around the storage of medicines were not always in line with best practice. This was a breach of Regulation 12 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The provider failed to ensure they completed robust recruitment checks when employing new staff. This increased the risks that unsuitable staff may be employed to work with people. This was a breach of Regulation 19 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

After our assessment site visit, the registered manager took action to make immediate improvements to their medicines management and staff recruitment processes. They were able to demonstrate how they had reduced the main risks associated with the breaches in regulation detailed above. However, they still required time to evidence they had embedded good practice and were no longer in breach of regulations.

No concerns were found in the quality statement of Safeguarding, which we looked at as part of this assessment. The provider had robust systems in place to help ensure people were kept safe from suffering abuse or coming to avoidable harm. Safeguarding incidents were reported and investigated appropriately.