Latest Inspection
This is the latest available inspection report for this service, carried out on 8th February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Fleetwood Hall Care Home.
Annual service review
Name of Service: Fleetwood Hall Care Home The quality rating for this care home is: The rating was made on: two star good service 0 4 1 1 2 0 0 8 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Pauline Caulfield Date of this annual service review: 0 6 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Chatsworth Avenue Fleetwood Lancashire FY7 8RW 08456032554 01253777158 Telephone number: Fax number: Email address: Provider web address:
www.orchardcarehomes.com Orchard Care Homes.Com Limited Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 62 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) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service 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 older people. The accommodation, which is on the ground and first floor, consists of sixty-two single bedrooms all of which have en-suite 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. 0 4 1 1 2 0 0 8 Annual Service Review Page 2 of 7 There are lounge and dining areas on each floor that provide people living in the home with the choice of where to sit and where to have their meals. There is a passenger lift, provided to ensure that everyone can gain access to and from the ground and first floor. A variety of aids are provided around the home to meet the needs of the service users. 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, manager and staff are and what the person moving into the home can expect if he or she decides to live at Fleetwood Hall. Information received showed that the fees for care at the home ranged from £545.00 to £595.00 per week, with added expenses for hairdressing, newspapers and chiropody. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The annual service review for Fleetwood Hall Care Home included the following: We looked at all the information that we have received, or asked for, since the last key inspection. We asked the home to complete an Annual Quality Assurance Assessment (AQAA). Providers are asked to complete an AQAA each year. This provides us with a written self-assessment plus information about the quality of the service they provide. It is one of the main ways that we obtain information about how the home is meeting outcomes for people using their service. Completion of the AQAA gives providers the opportunity to tell us about their service and how well they think they are performing. The information given allows us to develop a picture of the service being provided and target our inspection activity. We sent out comment cards to a number of people living in the home. This gave them the opportunity to give us their views about the home and the service provided. We received replies from five people living in the home and some of their relatives. We looked at the following: What the home has told us about things that have happened in the home. These are called notifications and are a legal requirement. Information we have about how the home has managed any complaints. The previous key inspection and the results of any other visits that we have made to the home in the last 12 months. Relevant information that we may have received from any other organisations such as GPs. What other people may have told us about the home. What has this told us about the service? The manager of the home returned the AQAA to us when we asked for it. The information provided was clear and showed how they were meeting the expectations and outcomes for people. We looked at this information, and our judgement is that the home is still providing a good service. The owners, manager and staff are aware of how to continue to develop and maintain their high standards and how to carry on ensuring the views of people living in the home are heard. The manager told us people moving into the home undergo a detailed assessment of their needs. They gather information from the prospective service user, other professionals and family members which helps them to build a whole picture of that persons needs. A service user guide telling people about the home is placed in all bedrooms and is discussed on admission, enabling people new to the home and their representatives to ask any questions about the home. People using the service said they had received Annual Service Review Page 4 of 7 enough information about the home before they moved in. The manager said through the AQAA that care plans have been further developed and are very detailed. Service users and their representatives, if consent is given, are involved in this care planning so that all are aware of what the plan of care is and how it will be delivered. The manager told us that the system for administering medication has been further developed over the last twelve months. The system is audited on a weekly basis and staff are observed and monitored on a regular basis administering the medication. This adds to the safety and security of the system, ensuring service users are given their medication correctly. People using the service and their relatives said that staff were caring and kind and were usually there when they needed them. One service user commented, The staff are very caring and helpful. Another service user said, Staff take care of me well. Another service user said, Most staff are good but one or two staff can be a little curt. A relative said, We are very happy with the level of comfort my father receives. This is a credit to the kindness of the staff. However one service user said that more staff were needed on duty. Another service user said, Staff dont alway have enough time to be there for people due to pressure of workload. Some people were happy with the meals, others commented that the overall quality of the food needed improving. One service user said, The home should improve the service at breakfast time. Another person said, Meals could be better. The manager said the home has a structured activities programme and service users are involved in planning activities. There is a new reminiscence area and a new social activity room where service users can attend organised sessions or use the facilities themselves. This enables everyone to have some enjoyable social and leisure time if they wish. Some service users said they would like staff to be able to spend more time chatting to them. People using the service and their relatives said there were usually activities arranged. There have been two safeguarding referrals in recent months. One referral was from the manager alerting us to a possible difficulty and how they were dealing with this. The manager dealt with this issue carefully and appropriately. The other referral is recent and is still being investigated. Senior staff have been involved in discussions and have been helpful in providing information. Through the AQAA the manager told us that the home is purpose built to high specifications and maintenance and repairs are carried out as needed. There are several spacious communal areas. Every bedroom has a Plasma screen T.V. a DVD. Internet access, Telephone line installed, Extra Sky TV channels and a mini fridge. All rooms have an en-suite shower wet room as standard.All rooms are single rooms. There are enclosed landscaped gardens that provide a safe environment for service users and a pleasant area to sit out in nice weather. People using the service said the home is fresh and clean. One service user said, The home provides good private en suite accommodation. Service users and their relatives said that the home is usually fresh and clean and hygienic. Most people using the service said that they know who to speak to if they are not
Annual Service Review Page 5 of 7 happy and most people know how to make a formal complaint if they needed to. Copies of the complaints procedure are in the entrance to the home and in the service user guide, so people have easy access to the information. One service user said, I am quite satisfied. Recruitment is safe and robust reducing the risk of employing unsuitable people. Induction training is thorough and informative and assists staff in meeting the needs of service users. Staff know the service users well and meet their needs effectively. Most staff have completed qualifications in care and there is a programme of ongoing staff training. Staff receive regular individual formal supervision as well as group supervision. This helps ensure staff have good up to date skills and knowledge and are clear how to support service users effectively. The manager of the home said that they regularly seek the views of people who live in the home through meetings and surveys to identify what they want from the service and act on the responses. People living in the home and their relatives commented that they felt well supported and staff listen to them. Senior people in the home continue to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and continue to show that they provide a service that achieves positive outcomes for the people who live there. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. Annual Service Review Page 6 of 7 Reader Information
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