Background to this inspection
Updated
4 August 2022
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 Health and Social Care Act 2008.
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 and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Foresight Residential Limited - 14 Otley Road 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. Foresight Residential Limited - 14 Otley Road 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
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the registered manger and three staff members. We reviewed two care plans, medication records and three staff files. We observed interaction between people and staff. We reviewed records associated with the management of the service, which included policies, procedures, audits, and checks. We looked at staff recruitment details.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with two care staff, three people in receipt of the service and four family members and one advocate for a person receiving a service. An advocate is someone who supports a person to help them express their views and wishes and helps them to stand up for their rights. We reviewed one care plan, environmental home maintenance checks, and additional information used to manage and improve the service.
Updated
4 August 2022
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 the Care Quality Commission (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.
About the service
Foresight Residential Limited - 14 Otley Road is a residential care home providing personal care to 11 people at the time of the inspection. The service can support up to 13 people.
People’s experience of using this service and what we found
The home is bigger than most domestic style properties. Yet the size did not have a negative impact on people. We believed that this was because the building design fitted into the local residential area. There were deliberately no identifying signs to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going out with people. The home was very spacious and made best use of larger communal areas.
The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.
Right support: Model of care and setting maximised people's choice, control and independence.
People were supported to make choices about where to live and with whom.
Staff were creative with supporting people to live their best lives, as independently as possible. Support was provided which promoted people to develop their daily living skills and access a range of activities and events.
People and their relatives told us they received care and support from staff who they knew and had their preferences respected.
Right care: Care was person-centred and promoted people's dignity, privacy and human rights.
Records were up to date and decisions made on behalf of people under the Mental Capacity Act 2005 were consistently applied or reviewed to ensure they continued to be the least restrictive option and in the persons best interest.
People and their relatives were involved in planning their care.
Care records included person-centred information for staff to follow.
People told us staff were respectful, caring and understanding around their emotional and physical needs.
The service worked closely with a range of health professionals to ensure people received the most up to date care which promoted their health and wellbeing; enabling them to live as normal lives as anyone else.
Right culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using the service led confident, inclusive and empowered lives.
The culture of the service was open and empowered individuals to express their views.
People spoke positively about the service they received and the way the service was managed. The registered manager and staff team were passionate about providing people with a personalised service which promoted their independence.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 29 November 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 19 June 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve in good governance and safe care and treatment.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions; Safe, Responsive and Well led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Foresight Residential Limited - 14 Otley Road on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation about management oversight of medicines under Well led.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.