Inspection on 04/11/08 for Fleetwood Hall Care Home

This inspection was carried out on 4th November 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Fleetwood Hall Care Home 04/12/08

Fleetwood Hall Care Home 20/11/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fleetwood Hall Care Home Chatsworth Avenue Fleetwood Lancashire FY7 8RW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 0 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Fleetwood Hall Care Home Chatsworth Avenue Fleetwood Lancashire FY7 8RW 08456032554 01253777158 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Karen Stella Darlow Type of registration: Number of places registered: Orchard Care Homes.Com Limited care home 62 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following categories of service only. Care home only code PC, to people of the following gender:- Either Whose primary care needs on admission to the home are within the category of Old age not falling within any other category ? Code OP (maximum number of places: 62) Date of last inspection Brief description of the care home Fleetwood Hall is a purpose built home, situated in an area of Fleetwood, which is close to local shops and amenities. The home is registered to accommodate a maximum of sixty-two persons over the age of 65 years of age. The accommodation, which is on the ground and first floor, consists of sixty-two single bedrooms all of which have ensuite toilet and shower facilities. The bedrooms are furnished to an excellent standard and also include, a fridge, television, DVD player and a telephone line and computer connection. There are lounge and dining areas on each floor that provide residents with the choice of where to sit and where to have their meals. There is a passenger lift, provided to ensure that all residents can gain access to and from the ground and first Care Homes for Older People Page 4 of 27 0 Over 65 62 Brief description of the care home floor. A variety of aids are provided around the home to meet the needs of the residents. A copy of the homes Statement of Purpose/ Service User Guide is placed in each bedroom. This written information explains the care service that is offered, who the owners, manger and staff are and what the resident can expect if he or she decides to live at the home. Information received prior to the visit (27/11/06) showed that the fees for care at the home ranged from £450.0 to £500.0 per week, with added expenses for hairdressing, newspapers and chiropody. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit was part of the inspection process and took place on the 4th of November 2008 and lasted approximately 7.0 hours. We spoke to residents, relatives, staff and groups of residents in two of the lounges. We looked at care records of residents and documentation which helped in the running of the home. We also had a walk around the building with the manager. As part of the inspection process we talked to residents and asked staff about those residents needs.We also looked in their rooms,care plans, records and daily diary notes, this is called case tracking. Other residents are invited to pass their opinions to us if they wish. We sent surveys to staff and residents for there views on how the home is run. Comments we received were positive and some are included in this Care Homes for Older People Page 6 of 27 report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. We use this information,in part, to focus our inspection activity. What the care home does well: What has improved since the last inspection? The home has improved in a number of ways by addressing the requirement and recommendations from the last inspection therefore making the home run more smoothly and provide a safer environment for residents to live in. For example a new drugs cabinet has been fitted, recruitment procedures have been improved to ensure all checks are in place for staff before they start to work, and care plans are easier to follow so staff are aware of the needs and what care the residents require. We spoke to the manager who said, We have worked hard to improve the home. The manager and organization are always improving forms and systems to make them more detailed or easier to follow, ensuring the care is consistent and continues to Care Homes for Older People Page 8 of 27 improve the home for residents. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures were clear to ensure care needs of residents are met. Evidence: We looked at assessment information of three people living at Fleetwood Hall and found good assessment information available, so that a care plan can be developed with accurate detail for staff to provide support and care residents need. Two residents had been assessed by Social Services before moving in the home, One said, I felt comfortable from the initial visit. Assessment information identified residents social interests, food likes and dislikes and any health needs so that staff are able to help individuals follow there hobbies and choose there meals and support with any health issues. One member of staff spoken to said, We welcome families and relatives to visit a few times before they make a decision. Care Homes for Older People Page 11 of 27 Evidence: Members of staff and the management team are aware of the need to know people before they move in to ensure they can provide the care they require and are able to provide a good home for them. One staff member spoken to said, Deputies and The manager assess residents. One relative we spoke to during the visit said, Good information provided to us to make a choice. Standard 6 was not assessed, as the home does not provide intermediate care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously, residents welfare is closely monitored and health needs are met. Evidence: Residents records looked at each had a plan of care setting out the action required by staff to ensure all health and social care needs are met. Plans of care are being regulary reviewed with involvement of families where possible. One relative spoken to about his relatives care said, No problem about information sharing. Significant events had been recorded and entries made setting out what care was needed. One staff member wrote in a survey, Care plans are informative and easy to follow. One care plan we looked at informed us of the changing needs of one individual and clearly identified what support was required and the visit of a health professional to provide treatment and how staff could monitor the situation to ensure the resident receives the best care and attention. We spoke to the resident and she said, The staff know what my health needs are. Risk assessments are in place and reviewed regularly,they are updated when neccessary reflecting any changes that may have occured individually Care Homes for Older People Page 13 of 27 Evidence: and in the environment to ensure residents and staff are safe and protected. We observed medication practices at lunchtime and looked at some residents medication records to ensure procedures were followed. We found improvements in procedures since the last inspection and records were accurately kept to ensure residents are kept safe. A senior member of staff we spoke to said, We have worked hard to improve our medication procedures. One member of staff wrote, Only trained staff give out medicines. Written information provided to us by the manager before we visited the home, the Annual Quality Assurance Assessment (AQAA) document, tells us of how they promote equality, diversity, respect and dignity issues by providing staff with training and regular information sharing to ensure they are aware of the issues. We observed staff knocking on doors before entering rooms, supporting residents with food in a sensitive manner and whilst we sat in one of the lounges, we saw staff talking to residents on a one to one basis with empathy and understanding. Comments included from staff and residents, I know about respect, equality and dignity because i have had training, Also, I like the way they have time for you and are always respectful and attentive. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. Evidence: At the time of the visit a social afternoon had been arranged with visits from people living locally to take part in games, bingo and a coffee and tea afternoon. The turn out was good and we spoke to residents and staff about events going on in the home, comments included, Today visits from the local community are invited for a get together. Also, There are a lot of trips,entertainers and social events happening. One resident said, We went to see Mama Mia fantastic. There is an activities coordiator employed by the organisation who helps out at homes when events are taking place and also extra staff are provided if needed. One member of staff spoken to said, When we went to see Mama Mia it was put on by the cinema as a private viewing for the home. The manager has to be commended for developing a system of recording each residents participation in social activities or there hobbies to ensure residents are continually stimulated and any problems can be identified. Comments from residents and surveys returned to us confirmed the meals and food Care Homes for Older People Page 15 of 27 Evidence: provided is good and choices are available. We had a look around the kitchen area and found the chef using fresh fruit and vegatables, ensuring residents receive a whloesome nutricious diet. Home baked cakes had been made for when a resident has a birthday Comments from residents and staff included, The food has always been good since I came here. And, We cater for everyones individual choices. One resident wrote, Always good food given to us. Residents spoken to all said they can have vistors at any time day or night. One member of staff said, We have two kitchenettes for residents and visitors to help themselves to tea and coffee. We looked into some residents rooms and found personal belongings and family pictures, to ensure they feel at home and provide a comfortable environment. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: There is a complaints procedure available in the reception area of the home for all visitors to see, also residents receive copies of the policy and procedure on admission to the home. One resident wrote in a survey, Yes i know what to do if i have a problem. There has been two complaints made to us the Commission for Social Care Inspection (CSCI),one investigated by Social Services following there safeguarding adults procedures. the complaint was unfounded and records show appropriate action taken and the outcome of the investigation recorded. One other complaint has been investigated by the manager using there procedures and is ongoing. An open approach to encourage comments through resident, staff and relative meetings helps to ensure concerns and grumbles are looked at and acted upon before they become formal complaints. From discussion with staff and members of the management team it was evident they had a good understanding of the policy and procedure to be followed in the event of an allegation or suspicion of abuse. One staff member spoken to said, Safeguarding adults is covered in National Vocational Qualification (NVQ) training. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is safe, clean and maintained to a high standard which provides comfort and pleasant surroundings for the residents to live in. Evidence: We had a walk around the building and found Fleetwood Hall is a purpose built care home taking into account the needs of residents to ensure they have the best facilities possible. The home is only approximately two years old and therefore all the fixtures and fittings are relatively new. Aids and adaptations are of the highest quality and provide the residents with the support and comfort they need. On each floor there is a kitchenette at the entrance to the lounges for the use of residents and relatives to make tea and coffee when they like, this helps promote independence and provide a facility for visitors to make them welcome. One relative spoken to said, The building is really lovely and the mini kitchen for us to help ourselves is excellent. We found from walking around the home that it is kept clean and tidy and comments from residents about the environment included, The place is kept clean. And, A beautiful home. There is a system in place to ensure the home is well maintained and we spoke to a member of staff who looked after the maintenance of the building, he said, Any repairs are reported daily and fixed. Care Homes for Older People Page 19 of 27 Evidence: There are staff employed who deal specifically with the laundry to ensure residents clothing is kept clean and reduce the risk of items that go missing. The laundry area is situated away from the kitchen and dining rooms so that soiled items and clothing are not carried through where food is prepared cooked or eaten. There are policies and guidance for the control of infection ensuring the home is kept clean, pleasant and hygienic. One staff member spoken to said, We have good laundry facilities. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for the recruitment of staff and training opportunities are good ensuring suitable and competent staff are employed. Evidence: We looked at staff rotas and spoke to residents and staff about the numbers of staff on duty. We found there is a sufficient mix of staff to provide the care and support required and some comments included, They are wonderful and do a thankless job. One staff member wrote, We work well as a team and make sure enough are on duty. We looked at two staff records of recruitment and found procedures had been followed and the correct documentation and checks are in place before anyone starts to work at the home. Good records have been kept with a checklist of recruitment information received and dates provided ensuring required documentation had been obtained. However the application form should be altered to request a full employment history with any gaps explained to ensure suitable staff only are employed. There was evidence on record of thorough induction training to ensure staff are aware of the policies and procedures of the home when they first start to work. One staff member spoken to said, I thought the initial induction was very useful. Care Homes for Older People Page 21 of 27 Evidence: We discussed training with the manager and staff and found ongoing training is provided for each individual as part of there development. Each staff member has a record of courses and training events completed and support received from in- house trainers. This ensures staff continue to be competent in there role and are able to provide the care and support the residents need. One staff member said, The manager supports staff to attend courses. The manager tells us in the AQAA and was confirmed by talking to staff that there are over 50 of care staff who have completed a recognized qualification in care (NVQ Level 2) ensuring suitable competent staff work at the home. One staff member said, Some staff are now doing level 4 NVQ. Staff spoken to said they were happy in their job, clear about their roles and work well as a team to ensure the individual and collective needs of the residents are met.We noticed as we walked around the home the atmosphere was friendly and one of caring and sharing which ensures the residents are relaxed and their needs are being met. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well and has policies and procedures in place to ensure the health and safety of staff and residents are promoted and protected. Evidence: The manager has the qualifications to run a care home and is registered with us (CSCI). One staff member spoken to said, There is good management support. We also asked residents how they thought the home was run and one said, The home is run well by good people. Staff and residents who sent surveys back were positive about how the home operates and the staff and manager. Comments included, We give excellent care, also, A good company to work for. We looked at random financial records and found good systems in place for residents where possible to manage there own affairs and ensure safeguards are in place. Care Homes for Older People Page 23 of 27 Evidence: Examination of records confirm regular tests to emergency lighting, fire procedures and electrical equipment had been carried out ensuring the safety of staff and residents is maintained. Records show the organization and manager as good systems in place to gather staff, residents and relatives views so that the home can continue to develop and improvements are made, ensuring people have there say in how the home is run. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 29 The application form for employment should be altered to request a full employment history with any gaps explained. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!