Background to this inspection
Updated
21 December 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Fazakerley House is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed all the information we held about the service since it registered with the Commission. We also obtained information about the service from the local authority and local safeguarding teams. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection visit
We spoke with 10 people and 2 family members about their experience of the care provided. We spoke with the registered manager, 6 care staff, a housekeeper, maintenance person, two cooks and the area director.
We reviewed a range of records. This included 4 people’s care records and a selection of people’s medication records. We looked at recruitment records for 3 staff members employed. A variety of other records relating to the management of the service, including audits and checks were reviewed.
Updated
21 December 2022
About the service
Fazakerley House Care Home provides accommodation and personal care for up to 45 people in an adapted building over two floors. At the time of our inspection 37 people were living at the service.
People’s experience of using this service and what we found
People told us they felt safe and family members told us they were confident their relative was kept safe. Risks to people’s health, safety and welfare were assessed, monitored and managed in a safe way. Safety checks and tests were carried out at the required intervals on the premises, equipment and utilities. Staff knew the signs of abuse and the procedures for reporting any concerns about people’s safety. Safe procedures were followed to minimise the spread of infection. New staff were recruited safely, and people received care and support from the right amount of suitably skilled and experienced staff.
People’s needs and choices were assessed, and outcomes were used to plan people’s care. New staff were inducted into their role and there was an ongoing programme of training and support for all staff. People received the support they needed to eat, and drink and they were offered a choice of food and drink as part of a healthy diet. People’s health and wellbeing was monitored, and staff responded quickly to any concerns. People received the support they needed to access other services. The premises were adapted and designed to meet people needs.
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 were treated well, and their privacy, dignity and independence were respected. Staff were knowledgeable about people and had formed trusting and positive relationships with them. People and family members shared positive feedback about the attitude and approach of staff. People’s personal information was kept confidential.
People were involved in planning and reviewing their care along with others including family members. People’s personal choices and preferences were reflected in the care plans and staff provided people with the right care and support. Staff supported and encouraged people to maintain and develop important relationships. Meaningful activities were arranged and facilitated for people. The was a clear procedure for raising complaints or concerns which was made available to people and others.
Managers and staff understood their role and responsibilities and regulatory requirements, and they were provided with updates which impacted service delivery. The providers systems and processes were used effectively to check and improve the quality and safety of the service. The culture of the service was positive, and person centred which led to good outcomes for people. People, family members and staff were complementary about the registered manager and the way they ran the service. Managers and staff had developed positive relationships with partner agencies and worked well with them.
Rating at last inspection and update
The provider had made a change to their registration since the last inspection. This is the first inspection under the providers new registration. The last rating for this service was good (published 27 September 2019).
Why we inspected
This was a planned 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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fazakerley House Residential Care Home on our website at www.cqc.org.uk.