Archived: Fleetwood Hall

Updated 14 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The service was inspected by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Fleetwood Hall is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission at the time of the inspection. A manager was in post and had applied to be registered with the CQC. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We also reviewed safeguarding alerts; share your experience forms and notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and four relatives about their experience of the care provided. We spoke with fourteen members of staff including the manager, senior care workers, care workers, domestic staff and the chef. We also spoke with one visiting professional.

We reviewed a range of records. This included five people’s care records and several medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, minutes from meetings and the auditing and monitoring of the service were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 14 December 2019

About the service

Fleetwood Hall is a residential care home providing personal and nursing care to 57 people aged 65 and over at the time of the inspection. The service can support up to 62 people. The home has two floors, with the first floor caring for people who live with dementia. The ground floor is a residential unit.

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

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. However, we found that documentation was not always fully completed. We have made a recommendation about this.

People told us they felt safe with staff who supported them. Management had completed risk assessments to ensure people were protected from risks associated with their care. Systems were in place to show people's medicines were managed safely.

Staff recruitment remained safe. People told us, and we could see for ourselves there was enough staff available to meet people's needs and to keep them safe. Staff were aware of their responsibilities in relation to infection control.

People we spoke with expressed their confidence in the staff and felt they knew their needs. People’s needs for nutrition and fluids had been considered. People were supported by staff to live healthier lives. Staff received training to help them in their role.

We received positive feedback about care provided at Fleetwood Hall from people who lived at the home and their relatives. We saw staff speaking with people who lived at the home in a respectful and dignified manner. People we spoke with told us they were offered a variety of choices, which promoted their independence.

People told us they felt staff were responsive to their needs. We saw people and their relatives had been involved in the planning and review of their care. People told us they were encouraged to give their views and raise concerns or complaints.

Staff understood the importance of supporting people to have a good end of life as well as living life to the full whilst they were fit and able to do so. People told us that they were provided stimulation and opportunities to join in activities.

There was a positive staff culture. Systems were in place which continuously assessed and monitored the quality of the service. We found the management team receptive to feedback and keen to improve the home. The manager worked with us in a positive manner and provided all the information we requested.

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 2 June 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.