CQC report explained · a residential care home
What the CQC found at Fitzwilliam Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were managed, including visitor checks, use of protective equipment, testing, cleaning and outbreak arrangements.
- Effective?
- Good
- This targeted inspection did not assess this area.
- Caring?
- Good
- This targeted inspection did not assess this area.
- Responsive?
- Good
- This targeted inspection did not assess this area.
- Well-led?
- Good
- This targeted inspection did not assess this area.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control, visiting arrangements and cleanliness.
This was a targeted inspection on 2 February 2022. Inspectors looked at infection prevention and control during the COVID-19 pandemic. They also asked about staffing pressures.
The home required visitors to take a lateral flow test and use personal protective equipment. Staff used protective equipment, washed their hands and had infection control training. Testing was in place for staff and people living there.
Inspectors said they were assured that infection risks were being managed. The home was clean and well maintained. Visiting followed government guidance and contact with family and friends was encouraged.
The service was inspected but not rated. This means the report does not give a full overall quality rating or ratings for all five areas of care.
Infection control
Inspectors were assured that the home had measures to prevent and manage infection. Staff had training and used protective equipment appropriately.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visiting and family contact
Visiting followed government guidance. Staff encouraged contact with family and friends so people were not isolated.
“Contact with family and friends was promoted by staff to ensure people were not isolated and promote their well-being.” from the report
Clean environment
The home was clean and maintained. Cleaning schedules were followed, reviewed and increased for frequently touched areas.
“The home was clean and well maintained. Staff had access to cleaning products and cleaning schedules were followed and reviewed.” from the report
Staff support
Staff meetings covered COVID-19 issues and staff welfare. The provider had measures to deal with COVID-19-related staffing pressures.
“The welfare and well-being of staff was discussed to ensure staff received the support they required.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your infection prevention and control arrangements changed since the inspection on 2 February 2022?
- 02What checks and protective equipment are currently required for visitors and professional visitors?
- 03How do you support visits and contact with family and friends if there is an infection outbreak?
- 04What measures are in place if COVID-19 causes staff shortages?
- 05How often are cleaning schedules reviewed, especially for frequently touched areas?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 4 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, January 2019
Fitzwilliam Lodge is rated Good; inspectors found safe, kind and personalised care, with only minor issues already addressed.
This was an unannounced inspection on 5 December 2018. The inspector spoke with five people living at the home, staff and managers, observed care, and checked care records, medicines, recruitment files and management checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable staff training, good support with health and nutrition, and care that respected people's choices, dignity and independence.
People had individual care plans and access to activities, outings and community links. The home had an open culture, encouraged feedback and used checks to identify and address shortfalls. The overall Good rating stayed the same as at the previous inspection.
Staffing and safety
Inspectors found enough staff to meet people's needs without rushing. Recruitment checks, risk assessments and safeguarding systems were also in place.
“There were enough staff employed to meet people's care and support needs in a timely way.” from the report
Kind and respectful care
Staff treated people with dignity, respected privacy and understood their individual preferences. People were supported to remain as independent as possible.
“People were supported by caring and compassionate staff who respected their privacy, dignity, preferences and independence.” from the report
Personalised support
Care plans described people's needs, routines, preferences and abilities. Staff provided flexible support, including during difficult times such as bereavement.
“The individualised approach to people's needs meant that staff provided flexible and responsive care.” from the report
Activities and choice
People could choose from varied activities and social opportunities, including outings, games, arts and crafts, cooking and film nights.
“People had access to a varied programme of meaningful activities and social opportunities, which everyone said they enjoyed.” from the report
Open management
People, families and staff were encouraged to give feedback. Management checks covered areas such as care plans, health and safety, infection control and the environment.
“Internal and external checks on the quality and safety of the service enabled the service to evidence continual improvement.” from the report
Minor pharmacy shortfalls
minorThe dispensing pharmacy had identified a couple of minor shortfalls during an earlier visit in April 2018. The manager said these had been addressed on the day.
“At their visit in April 2018 they had identified a couple of minor shortfalls” from the report
Registered manager not based daily
minorThe registered manager also managed four other homes and was not based at this home every day. A general manager ran the home daily, and staff said the management team was approachable and supportive.
“The registered manager was not based at the home daily, as they were also the registered manager at four of the company's other homes.” from the report
- 01How do you make sure there are enough staff to meet my relative's needs at different times of day?
- 02What medicines checks are carried out now, and how were the minor pharmacy shortfalls followed up?
- 03How often is the registered manager at the home, and who is responsible when they are away?
- 04How will my relative's care plan record their preferences, abilities, health needs and daily routines?
- 05What activities and community opportunities would be available for my relative to choose from?
This was an unannounced inspection covering all five CQC questions, and the overall Good rating carried over from the previous inspection. This explanation was written from the published report of 3 January 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Fitzwilliam Lodge
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 30 January 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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97 live-in carers within about an hour of Rotherham
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