Background to this inspection
Updated
9 February 2023
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
One inspector carried out the inspection.
Service and service type
Fenton Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Fenton Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short notice period of the inspection because we wanted to be sure people would be at home to speak with us.
Inspection activity started on 18 January 2023 and ended on 24 January 2023. We visited the home on 18 January 2023.
What we did before inspection
We reviewed information we had received about the service since the last inspection, including feedback forms submitted by relatives and professionals. We used the information the provider sent us in the provider information return (PIR) in November 2022. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, 2 people who lived at the home and 2 members of staff. We spoke with 3 relatives by phone and received feedback from 2 professionals by email.
We checked 2 people’s care records, including their risk assessments and support plans, recruitment records for 2 staff and training records. We also reviewed health and safety records, quality audits, meeting minutes, the provider’s business continuity plan, and the arrangements for managing medicines.
Updated
9 February 2023
About the service
Fenton Lodge is a care home registered to accommodate up to 4 adults with learning disabilities. There were 3 people living at the home at the time of our inspection.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
Staff had the training, information and support they needed to provide people’s care in a safe way. People’s medicines were managed safely and staff supported people to access healthcare services when they needed them. Staff managed risks well to keep people safe.
The registered manager and staff were proactive in seeking way to improve people’s well-being and quality of life. Staff supported people to identify their goals and aspirations and to live meaningful lives. People had opportunities to take part in activities they enjoyed and to access their local community.
Right care:
There were always enough staff available to meet people’s needs and keep them safe. People were supported by consistent staff who knew their needs well. Relatives told us the home was a family-oriented and supportive environment in which their family members flourished.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. People were supported to be as independent as possible and to develop and maintain skills.
Staff understood their responsibilities in protecting people from abuse and knew how to report any concerns they had. The provider’s recruitment procedures helped ensure only suitable staff were employed.
Right culture:
The registered manager provided good leadership for the home and promoted a culture in which staff valued people’s individuality and protected their rights. The views of people who lived at the home, their relatives and staff were sought and listened to.
Staff felt valued for the work they did and had opportunities to contribute to the development of the home. Monitoring systems were effective in keeping people safe and ensuring they received good quality care. The registered manager and staff had established effective relationships with other professionals involved in people’s care.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The registered provider of this service has changed since the last inspection. The last rating for the service under the previous provider was good, published on 31 December 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.