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Inspection carried out on 8 August 2019

During a routine inspection

About the service

Fulwood Court is an apartment complex made up of 33 owned or rented, one or two bedroom apartments. It has a bistro with kitchen and dining areas, a large communal lounge, hairdressing salon and activities.

If needed people can have a domiciliary care package from Fulwood Court to support them with their personal care. Not everyone living at Fulwood Court received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection the service was providing personal care to 10 people.

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

People told us they felt safe living at Fulwood Court. Comments included, “Oh yes I’m very safe” and “Yes I do feel safe, I get on well with the staff and I trust them.”

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.

People’s needs were effectively assessed before they were supported by the service and staff worked effectively with other healthcare professionals to ensure people’s health and wellbeing was maintained.

All the people we spoke with gave us positive feedback about the staff at the service and we saw staff knew the people they supported well. People commented, “The staff are good, we have a laugh and a joke” and “The staff are very caring and kind, we can always rely on them.”

People’s care plans reflected their needs and gave staff the information they needed to support them. People and, where appropriate, their relatives were involved in the care planning and review process to ensure people’s care plans were person-centred.

People told us the service was well-led. Comments included, “[Registered manager] is nice and gets things done when you need help” and “It’s a well-managed place, [registered manager] is nice and we know her.” There was a kind and caring culture amongst staff at the service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 8 February 2017).

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.

Inspection carried out on 28 September 2016

During a routine inspection

This unannounced comprehensive inspection took place on 28 and 30 September 2016.

Fulwood Court is a recently built complex providing people with their owned or rented, one or two bedroom apartment. There are 33 apartments. Fulwood Court provides a bistro with kitchen and dining areas, a large communal lounge, hairdressing salon and activities. If needed people can have a domiciliary care package from Fulwood Court to support them with their personal care, shopping or other general support. It is the personal care part of the service that is registered with the Care Quality Commission to carry out the regulated activity of ‘personal care’. This care is available 24 hours a day. At the time of our inspection, the service was regularly supporting 15 people with a care package for personal care. The service would occasionally support other people in Fulwood Court if they had any temporary support needs.

Previously, most of the staff and many of the people who live in Fulwood Court had been supported in a residential home run by the provider, not too far away. This had been closed when the Fulwood Court complex had opened.

The service requires a registered manager. 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 service had a registered manager who had been in post for several years.

The service used safe systems for recruiting new staff. These included checking references and a criminal conviction check using the Disclosure and Barring Service (DBS) for criminal records.

People told us they were happy about all the aspects of their care and support in their own homes. We found that the service was adequately staffed, with competent and trained staff members. They had an induction programme in place that included training staff to ensure they were competent in the role they were doing at the service and received on-going training. Staff told us they felt supported by the senior staff and the registered manager.

The care was person centred and individual to each person’s needs and staff and senior managers kept accurate and up to date records of the care they delivered. Staff knew how to safeguard people from abuse and report any concerns.

Risk assessments were carried out for people and where they needed help, were given support to administer their medication. People could choose where and when to eat and there was an on-site dining area where a variety of home cooked food was available, if they chose not to cook in their own kitchens.

The service was monitored effectively for quality and people using the service were listened to and treated with respect and dignity. Any complaints were dealt with effectively and the outcomes were recorded.

The provider had complied with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards and its associated codes of practice in the delivery of care. We found that the staff had followed the requirements and principles of the Mental Capacity Act 2005 (MCA). Staff we spoke with had an understanding of what their role was and what their obligations where in order to maintain people’s rights and were aware of the differences in the implementation of the MCA in a person’s own home.

Inspection carried out on 23 January 2014

During a routine inspection

During the inspection we spoke with many people who used the service. They spoke positively about the support they received to make decisions about their care and in general. They said �The staff are very friendly, always helpful, they help me when I need them and leave me alone when I don�t.�

We found that people�s need were assessed and care and treatment was planned and delivered in line with their individual care plan. One person said "Staff are very friendly they always respond quickly when we need help, I feel safer knowing they are nearby and I know that when needs change I can increase the care package I already have."

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. People received care, treatment and support from staff that were competent to carry out their roles and responsibilities.

We looked at the systems in place to see how the quality of service was monitored. We found that good processes were in place, people and their relatives were asked for their views about their care and treatment and these were acted on. There was evidence that learning from incidents had taken place and appropriate actions had been taken.

Inspection carried out on 25 October 2012

During a routine inspection

As part of our inspection we spoke with four people who had received support from the agency with their personal care. We also spoke with four members of staff and looked at a sample of records.

People told us that they had been satisfied with the support they had received with their personal care. They told us that staff had always responded positively to requests for support and that staff had treated them with respect. Comments we received included, �Everyone here is respected, that�s a big thing. You are treated as a human being� and �You�ve only got to say and they do it�.

People told us that they had felt safe with the support they had received and that they had felt confident any concerns they raised would be listened to and addressed by staff. They told us that they had confidence in the staff who had supported them, with one person explaining, �Always somebody on tap who is experienced� and another �Oh yes I do think they know what they are doing�.