We carried out a review of the data available to us about Fullwood House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Fullwood House, you can give feedback on this service.
Fullwood House is a residential care home providing accommodation for nursing or personal care for up to a maximum of ten people, younger and older adults with mental health conditions and learning disabilities. At the time of our inspection the service supported ten adults in one adapted building.
People’s experience of using this service and what we found
People were cared for safely. Systems were in place to assess, monitor and manage risks to people’s health, safety and welfare. People were involved in developing their support plans with their key worker.
Infection prevention and control procedures were implemented in line with current government guidance to reduce the risk of infection to people.
People received their medicines as prescribed. Staff followed detailed guidance to ensure people’s medicines were managed consistently and safely.
People were supported by caring staff who knew them well.
People were involved in improvements and changes in the service.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of key questions safe, caring, responsive and well led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were involved in the assessment and planning of their care. Staff understood and implemented the principles of person centred care to enable people to make choices and develop their independence.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (12 November 2021) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 22 and 28 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve person centred care; safe care and treatment and governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements, and Caring.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fullwood House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Fullwood House is a residential care home providing accommodation for nursing or personal care for people with mental health conditions. At the time of inspection, they were also providing a service to people with a learning disability although they had not updated CQC about this. At the time of our inspection the service supported ten adults in one adapted building.
People’s experience of using this service and what we found
The systems in place to assess, monitor and manage risks to people's health, safety and welfare were unsafe.
People were at risk of harm because government guidance for infection prevention and control processes were not being followed.
Risk assessments were not always in place for specific risks to people. People were not always involved in the process to assess, develop and review risks and their support plans.
People received their medicines as prescribed. However, ‘as and when required’ medicine, PRN administration guidance for staff lacked in person centred detail and medicines were not always stored where the temperature was being monitored.
People’s communication needs were not always identified.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was not able to demonstrate how they were the underpinning principles of Right support, right care, right culture.
People told us they wanted to move on from the service but had not been given the support to do so. This demonstrated that people are not provided with the support they need and want to maximise their choice, control and independence.
Care plans did not demonstrate person-centred care. This means people are not involved in all decisions about their lives. Care was not always person-centred.
People were cared for, but they weren’t empowered to lead confident inclusive lives.
The management of the service did not always have oversight of the risks identified above. This put people at risk of harm.
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 good (published 19 July 2019).
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fullwood House on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We identified breaches in relation to safe care and treatment, person-centred care and governance at this inspection. The provider told us they have taken action to mitigate some of the risks. For example, face coverings are now being worn by all staff, window restrictors have been put in place and risk assessments for self-harm have been put in place. Where improvements had been made these needed to become fully embedded.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Fullwood House is a care home that offers care and support to 10 adults living with mental health needs. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection 10 people were living at Fullwood House.
People’s experience of using this service and what we found
People were happy living at Fullwood House. They told us they felt safe and secure. They liked the staff who looked after them. The premises were kept safe and were well maintained.
Staff understood how to protect people from the risk of harm and understood potential signs of abuse. People were involved in assessments of potential risks to their safety and in identifying measures to keep them safe. Care plans provided clear guidance for staff to follow. People received their medicines as prescribed and were protected from the risk of infections through staff working practices.
There were enough staff so that they could meet people’s needs in a timely way. Staff went through a thorough recruitment process so that the provider knew they only employed suitable staff. Staff undertook training that supported them to have the knowledge and skills to do their job well and effectively meet people’s needs.
People were provided with care and support that ensured they had good nutrition and hydration. They had access to healthcare that maintained their health and wellbeing. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff knew people well and had developed positive relationships with people which helped to ensure good communication and support. Staff respected people’s privacy and dignity and encouraged people to be as independent as possible.
People were at the centre of their care and support and were fully involved and consulted when making changes to how their care was provided. Staff were responsive to changes in people's needs to ensure people received timely intervention to maintain their well-being.
People were supported to develop new skills, maintain relationships and engage in meaningful activities and interests. Staff forged links with the local services to enable people to be a part of their local community. People and relatives knew how to raise a concern or complaint. The provider's complaints policy provided information about how these would be managed and responded to.
The registered manager was actively involved in the day to day provision of care and support and as such had a good oversight into the quality of the service provided. They monitored the quality of care and support people experienced through robust quality assurance systems and processes and used outcomes of these to drive improvements within the service.
People, a relative and staff spoke positively about the management and leadership of the service, as being open and transparent. The manager listened to feedback and took action to make improvements to the service. Staff were encouraged to share ideas about how to develop the service. The service worked in partnership with external agencies to ensure people achieved the best possible outcomes from their care and support.
Rating at last inspection
Good, report was published on 1 October 2016.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This inspection was unannounced and took place on 14 September 2016. The service was registered to provide accommodation for up to ten people, who have a mental health condition. At the time of our inspection eight people were using the service.
There was 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.
The home is situated in the town centre of Ilkeston and provides good access to local shops and services. People who used the service told us they felt safe and well cared for. There were always plenty of staff on duty to meet the needs of the people and the manager reflected the level of staff based on people’s needs. Training was available to staff and covered a broad range of training to support them in their role. The provider had a robust recruitment policy and we saw this was followed.
We found staff had established positive relationships with people. The staff team was consistent which provided people with assurance of continuity of support. Staff showed respect for people’s choices in relation to privacy and how they wished to spend their time.
People were able to choose the meals they wish to eat and alternatives were provided. They were encouraged to be independent for some of the meals. We saw that medicines were managed safely and administered in line with people’s prescriptions. Referrals had been made to health care professionals and any guidance provided had been followed.
Staff used information from the person and family or relatives to support the completion of the care plan. People’s care plans were personalised and they had been encouraged to be involved if they wished so that their own wishes and words would be reflected.
People were encouraged and supported with activities they wish to engage in. Any complaints had been addressed and resolved in a timely manner.
People told us they found the service to be kind and friendly. Staff felt supported by the manager and there was a clear process in place to cascade information about the service and the needs of people. People had been encouraged to give feedback about the service. There was a routine approach to completing audits to ensure the service provided continued good service and reflected any continuous improvements.