Foxlands House

Updated 14 November 2019

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.

Inspection Team

This inspection was completed by one inspector.

Service and service type

Foxlands House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service to gain their views about the service. We spoke with two members of staff and the registered manager. We also obtained feedback from two healthcare professionals.

We reviewed a range of records. This included three people’s care plans, risk assessments and medicine records. We looked at four staff files in relation to recruitment, training and supervision. We also looked at records relating to the management of the service such as audits and a variety of policies and procedures developed and implemented by the provider.

After the inspection

We continued to seek clarification from the provider to validate evidence found. The provider sent us quality assurance records.

Updated 14 November 2019

About the service

Foxlands House is a purpose built care home in a complex of supported housing services for people with mental health needs. It has six en-suite bedrooms and a number of shared living and dining spaces. At the time of our inspection, six people were using the service.

People’s experience of using this service and what we found

At this inspection we found that the service was outstanding in empowering people to have as much control over their lives as possible and to achieve their maximum potential.

People felt the care was highly personalised and staff worked well to deliver an excellent level of care. We found multiple examples to demonstrate the staff and management team were passionate about providing an innovative, responsive and excellent service to people.

People told us they felt safe using the service. Medicines were managed safely. Appropriate numbers of suitably skilled staff were deployed to meet people's needs in a timely manner. Staff followed appropriate infection control practices. Accident and incidents were recorded and acted upon. Any lessons learnt were used as opportunities to improve the quality of service.

Assessments were carried out prior to people joining the service to ensure their needs could be met. Where risks were identified, management plans were in place to manage these safely. Staff had the training, knowledge and experience to support people's needs. People were supported to maintain good health and had access to a range of healthcare services when needed. People were encouraged to eat a healthy well balanced diet for their wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People's privacy, dignity and independence was promoted. People told us staff were kind and caring.

There were procedures in place to respond to complaints. The provider had investigated and responded promptly to any concerns received.

There were effective systems in place to assess and monitor the quality of the service provided.

The provider worked in partnership with healthcare services and professionals to plan and deliver an effective service.

Rating at the last inspection:

The last rating for this service was requires improvement (published 13 September 2018). 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:

This was a planned inspection based on the previous rating.

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 any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk