• Care Home
  • Care home

Archived: Fleetwood Hall

Overall: Good read more about inspection ratings

Chatsworth Avenue, Fleetwood, Lancashire, FY7 8RW (01253) 777065

Provided and run by:
Orchard Care Homes.Com (2) Limited

Important: The provider of this service changed. See old profile
Important: The provider of this service changed. See new profile

All Inspections

13 November 2019

During a routine inspection

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.

18 April 2017

During a routine inspection

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

This is a care home situated close to Fleetwood town centre and the promenade. The home has two floors, with the first floor caring for people who lived with dementia. The ground floor is a residential unit. The total occupancy is for 62 residents. There is lift access to the first floor with separate lounge and dining areas on both floors. All bedrooms have an en suite bathroom. The building has parking facilities and access for people who have mobility difficulties.

The management team had procedures in place to minimise the potential risk of abuse or unsafe care. Staff spoken with were able to identify the different types of abuse and had received training in safeguarding adults. Records we looked at confirmed this.

Staff had been recruited safely, appropriately trained and supported. This was confirmed by records looked at and discussions with staff. One staff member said, “The process was very good and was useful to me.”

The recommendation from the previous inspection in relation to staffing levels had been addressed. The management team now monitored and regularly assessed staffing levels to ensure sufficient care staff were available to provide support people needed. We observed there were plenty of staff around to meet people’s needs.

Risk assessments had been developed to minimise the potential risk of harm to people during the delivery of their care. Care records showed they were reviewed and any changes were implemented and plans updated.

We looked around the building and found it had been maintained, was clean and hygienic and a safe place for people to live.

The management team now ensured two trained carers supported the medication round so that people received their medication at the correct time. One of the management team said, “It is better now and people receive their medicines when they should do.” Medicines had been checked on receipt into the home, given as prescribed and stored and disposed of correctly.

People are 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 support this practice.

The lunch time meal was served in the two dining areas of the building. We observed there was nobody who needed help on the ground floor the staff were very pleasant with people. The first floor dining area supported people who lived with dementia. We observed sufficient staff supported people who required help in a sensitive manner. Comments about the food were positive one person who lived at the home said, “Very good I get a choice. If there is something we don’t like we just choose the other option.”

People who lived at Fleetwood Hall had access to healthcare professionals and appointments were documented with outcomes implemented in care plans. We found staff had responded promptly when people had experienced health problems.

Staff spoken with and records seen confirmed training had been provided to enable them to support people who lived at the home. We found staff were knowledgeable about support needs of people in their care.

People who lived at the home and relatives knew how to raise a concern or to make a complaint. The complaints procedure was available on view and people said they were encouraged to raise concerns.

The management team used different ways to assess and monitor the quality of care at Fleetwood Hall and told us they were supported by the organisation. These included regular audits of medication, the environment and care records of people who lived at the home. In addition staff and ‘resident’ meetings to seek the views of people about the quality of care being provided took place on a regular basis. Any suggestions to improve the service were acted upon.

29 January 2015

During a routine inspection

The inspection visit at Fleetwood Hall took place on 29th January 2015 and was unannounced.

This is a care home situated close to Fleetwood Town centre and the promenade. The home is has two floors, with the first floor caring for people with dementia. The ground floor is a residential unit. At the time of the inspection there was 59 people living at the home.

There was a registered manager in place. 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.

At the last inspection 17th September the service was meeting the requirements of the regulations that were inspected at that time.

People who lived at the home told us they felt well cared for, safe and secure. Comments from people and relatives included, “Everybody’s so kind.” Also, “Here nobody’s threatening. Nobody can wander in and there’s always staff around.” A relative said, “I live quite a long way from the home. However it is comforting to know she is in excellent hands.”

People’s care and support needs had been assessed before they moved into the home. Care records we looked at contained details of people’s preferences, interests, likes and dislikes. Relatives we spoke with told us they had been consulted about their relative’s care and were informed of any changes that occurred. People who lived at the home told us their views and choices were listened to by the staff and registered manager.

We observed medicines being administrated. We found that medicines were administered safely. However morning medication was not all being administered at the right time for people. For example the last person to receive medication was at 10.45 am. This should have been given out at 9.00am to ensure people receive their medication at the correct time medicines were prescribed to be given. We spoke with the registered manager and staff responsible for administering medicines. On that day they were a senior staff member down and this had resulted in a delay of administering medication on time. The service had not looked at ways of ensuring people receive their medication despite problems or issues that arise.

We found staffing levels at certain times were not always sufficient to ensure peoples safety and meet their needs. The registered manager told us they would discuss staffing levels with the provider to ensure they had sufficient care staff on duty to support people.

The premises were well maintained and comfortable. There were appropriate communal areas so people could spend time taking part in activities, or meeting with relatives on their own.

The registered manager assessed and monitored the quality of care consistently. The registered manager and provider encouraged feedback from people and families, which they used to make improvements to the service.

We have made recommendations about ensuring people living with dementia were safe and cared for by sufficient staff. Also medicines were not taken at the correct time prescribed for people who lived at the home.

17 September 2013

During a routine inspection

On the day of our visit we spoke with the deputy manager, staff, relatives and residents. We also had responses from external agencies including social services .This helped us to gain a balanced overview of what people experienced living at the home.

During the inspection we looked at care planning, food preparation and staff training records. We also observed care practices during the day and talked with residents and relatives about the home. Comments were positive and included, 'This is a lovely home run by good people.' Also from a relative, 'We have come to take mum out for the day, the place is wonderful mum has really settled here."

We spoke with people who lived at the home. They told us they could express their views and were involved in making decisions about their care. They told us they felt listened to when discussing their care needs.

We spoke individually with residents living at Fleetwood Hall about their diet and how their nutritional needs were being met. They told us they were satisfied with the meals. One resident said, 'The food is very good no one can complain. Lots of it and the quality is excellent.'

There were a range of audits and systems in place to monitor the quality of the service being provided.

Prior to our visit we contacted Lancashire contracts monitoring team. They told us they currently had no concerns with the service being provided by the home.

2 October 2012

During a routine inspection

We spoke with a range of people about the home. They included the manager, staff, relatives and people who lived at the home. We spoke with people individually and in communal areas of the home. We also had responses from external agencies including social services in order to gain a balanced overview of what people experienced. All responses were positive about the care and support the service provided.

The home was divided into two units. The first floor was for people who had dementia. Conversation with most residents on this floor was limited due to their dementia conditions. We therefore spent much of the time in the lounge/dining area making observations of how people were being cared for. However we spoke with one resident and three relatives in this unit and responses were positive and included, "My dad has been here a while and all the staff have been fantastic with him."

In the residential unit on the ground floor people spoken with told us they could express their views and were involved in decision making about their care. They told us they felt listened to when discussing their care needs. Staff confirmed to us they also involved relatives where possible to ensure people received the right care and support. One resident told us, "I know we go through my ailments monthly and check what needs doing." A staff member spoken with said, " We try and involve all residents in planning their care, if not we contact relatives."