3 October 2023
During a routine inspection
Foley Grange is a residential care home providing the regulated activity accommodation for people who require personal care. Foley Grange accommodates 66 people in one adapted building. The service provides support to older people who may have dementia, mental health, or sensory impairment care needs. At the time of our inspection there were 36 people using the service
People’s experience of the service and what we found:
People felt safe and supported by the staff who worked at Foley Grange. Staff recognised different types of abuse and how to report it. The registered manager understood their safeguarding responsibilities and how to protect people from abuse. People’s care had been planned and potential risks to people had been identified, with mitigation in place to protect people from potential harm. There were enough staff on duty to keep people safe and meet their needs. People's medicines were managed and stored in a safe way. Recruitment processes were robust to ensure safe employment of new staff. The home was clean and staff followed safe infection control practices.
People's care needs had been assessed and planned, and any changes to people’s planned care was identified. Staff received training and support to care for people in line with best practice. People were supported to have a healthy balanced diet and enjoyed a varied choice of home cooked food. Staff worked with external healthcare professionals and followed their guidance and advice in support people in line with best practice. 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.
People were supported by staff who treated them well. One person said, “very pleasant doesn’t feel like a hospital, it’s like home from home.” Staff treated people as individuals and respected the decisions they made. Staff treated people with respect and maintained their dignity.
People's care was delivered in a timely way, with any changes in care being communicated clearly to the staff team. People were supported to engage in a range of activities. People were supported to pursue interests which were individual to them. People had access to information about how to raise a complaint. People's end of life care needs were met in line with their preferences in a respectful and dignified way.
The provider had systems in place to monitor the quality of the service provision and drive improvement in all aspects of the service provision. People, relatives and staff were involved and engaged throughout. External professionals worked with staff to provide good outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 25 November 2021, and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about support to people with dementia and mental health care needs. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. However, we did find that Foley Grange supports people who have a lower level of care requirements and promote people’s independence as far as possible. Where some people’s dementia care needs or mental health needs have increased, due consideration is given as to whether staff can continue to safely support people within the home environment or if alternative placement is needed.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.