Fleetwood Hall

Updated 7 January 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.

Inspection team

Two inspectors and an Expert by Experience carried out the inspection. 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 a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

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, Healthwatch and professionals who work with the service. 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 all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and 11 relatives about their experience of the care provided. We spoke with ten members of staff including the nominated individual, registered manager, deputy manager, care workers, maintenance person and the chef. We observed the care and support people received. This helped us understand the experience of people who could not talk with us. We had a walk around the premises and looked at health and safety and infection control measures.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found and received additional feedback from a relative. We looked at training data and quality assurance records.

Updated 7 January 2022

About the service

Fleetwood Hall is a residential care home providing personal and nursing care to 50 people aged 65 and over at the time of the inspection. The service can support up to 61 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

Fleetwood Hall was clean and hygienic. There were enough staff to meet people's care and support needs. Staff were employed following a thorough recruitment process. People's safety was at the centre of care delivery. Risks were assessed and carefully monitored to ensure individuals safety. People received their medicines safely.

People received support with their healthcare and nutritional 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. There was a programme of staff training and regular updates were in place for staff to attend and improve their skills. One staff member told us, “The training is really thorough. The trainer listens and is nice.”

People were treated with dignity and respect, and staff we spoke with us told us how they respected people and ensured their privacy and dignity was maintained. We observed staff interactions with people living in the home and found them to be caring. One person said, "The staff are nice."

Activities were varied, staff had worked hard with people to provide meaningful social activities to provide stimulation and exercise. There was a complaints process and procedure which people and relatives were aware of.

The management team had auditing systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured people were able to give their views of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 17/01/2020 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 14 December 2019.

Why we inspected

This was a planned inspection due to the location having changed legal entity.

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 the service can respond to COVID-19 and other infection outbreaks effectively.

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.