Background to this inspection
Updated
29 April 2021
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.
As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 15 April 2021 and was announced.
Updated
29 April 2021
About the service
Fazakerley House accommodates up to 45 people across two separate wings, each of which has separate adapted facilities. There were 38 people using the service at the time of the inspection.
People’s experience of using this service and what we found
At our previous inspection in July 2018 the service was in breach of Regulations. At this inspection we found enough improvement had been made and the provider was no longer in breach of regulations.
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.
Medicines were now safely managed. Medication rooms were now kept locked when unattended by staff and medicines were now dispensed and administered to people at the right time. People told us they received their medicines on time.
The environment and mobility equipment were now safe and clean. More regular checks were now carried out on both the inside and outside of the environment and mobility equipment and any risk identified was acted upon promptly.
Care was now planned based on people’s needs and choices with clear outcomes recorded. Records in place to monitor aspects of people’s care and support were now completed as required to reflect people’s needs and the care provided. Records which contained personal information about people was now stored away when not in use and accessible to staff on a need to know basis.
The providers systems for monitoring the quality and safety of the service were now carried out at the required intervals and more effective in identifying and actioning areas for improvement.
Safe recruitment processes were followed for selecting staff and there was the right amount of suitably skilled and qualified staff to safely meet people’s needs. People felt safe living at the service. Staff understood their responsibilities for safeguarding people from the risk of abuse and for reporting any health and safety concerns. Accidents and incidents were reviewed, and lessons were learnt to help reduce further occurrences.
Staff received the support and training they needed for their role. Staff received regular support from their line manager and they attended regular staff meetings. Staff told us they felt well supported, valued and listened to. People received the support they needed to meet their dietary and healthcare needs.
People’s care and support needs were planned in a personalised way. People had developed good relationships with staff who understood their individual preferences and care needs. Adaptations and signage were in place to assist people with their mobility and orientation. Plans were in place to replace carpets with more suitable flooring in corridors on the ground floor.
People and family members told us that staff treated them well and were respectful, kind and caring. People were involved in making decisions about their care and they felt listened to.
The service promoted a positive culture that was person-centred. The registered manager was described by people, family members and staff as approachable and supportive.
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 was requires improvement (published July 2018). The service has improved to good.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.