Working at Fairways

Risks like major weight loss, choking dangers, and wrong bed mattress settings are not always spotted or referred to doctors.

Two people had significant, unintentional weight loss but had not been referred to health professionals for a review... Pressure relieving mattresses for two of three people we reviewed were set too high to be effective. This had not been noticed by staff or referred... Potential swallowing difficulties had been identified... there was no guidance in place for staff.

Managers do not always catch safety problems or investigate accidents properly, so issues keep happening.

The provider did not always act on changes to people’s condition... Investigations did not include enough detail about what had happened. It was also unclear how events had been investigated.

No specialist training for swallowing issues or special diets, so staff lack guidance on key risks.

Dysphagia training had not been included on the training schedule. Although people had been referred... there was no guidance for staff in relation to how to support people on modified diets.