Foxley Lodge Residential Care Home

Updated 10 November 2021

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:

The inspection team consisted of two inspectors.

Service and service type:

Foxley Lodge Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a registered manager who had recently stepped down from their role. A home manager was in post and had submitted their application to CQC to take over as the new registered manager for the service. The registered manager 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 the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We reviewed statutory notifications submitted by the provider. Statutory notifications contain information providers are required to send to us about significant events that take place within services. We used all of this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with three people using the service. We asked them about their experiences of the care and support they received at the service. As most people using the service were unable to speak with us due to their communication needs, we observed interactions between people and staff. We spoke with the home manager, the deputy manager and two care support workers. We reviewed a range of records. This included two people's care records, medicines stock and records, staff recruitment files, staff training and supervision information and other records relating to the management of the service.

After the inspection

We continued to speak with the home manager and sought clarification about the evidence gathered. We also reviewed additional documentation relating to the management of the service.

Updated 10 November 2021

About the service

Foxley Lodge Residential Care Home is a care home which can support up to twenty-two people in one adapted building. The service specialises in supporting people living with dementia. There were 18 people using the service at the time of this inspection.

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

People were safe at the service. Staff had been trained to safeguard people from abuse and understood how to manage risks to people to keep them safe. There were enough staff to support people. Recruitment checks had been undertaken on staff to make sure they were suitable to support people.

People had a choice of comfortable spaces to spend time in at the service. The provider adapted the premises when needed to meet people’s needs. The premises were clean and tidy. Staff followed current hygiene practice to reduce the risk of infections. Visitors to the service were given information to help them reduce the risk of catching and spreading infection. Health and safety checks of the premises and equipment were carried out at regular intervals.

People’s care and support needs were assessed prior to them using the service. Their care plans set out for staff how these needs should be met. Staff understood people’s needs and how they should be supported with these. They received relevant training to help them to do this. Staff were supported by the home manager to continuously improve their working practices to help people achieve positive outcomes.

Staff were calm, kind and respectful of people. 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 were supported to stay healthy and well. Staff helped people eat and drink enough to meet their needs, to take their prescribed medicines and to manage their healthcare conditions. Staff obtained prompt support for people when they became unwell.

The provider had recently acted to make management changes at service and provider level to ensure the safety and wellbeing of people using the service. People, staff, relatives and the relevant agencies had been notified of these changes.

People and staff’s feedback indicated despite the changes the service had continued to operate as normal and managed well by the home manager. People were satisfied with the quality of care and support they received.

The home manager reviewed accidents, incidents and complaints to identify how the service could improve. People were encouraged to have their say about how the service could improve. The home manager used their feedback along with regular audits and checks, to monitor, review and improve the quality and safety of the support provided.

The service worked with other agencies and healthcare professionals. The provider acted on their recommendations to improve the quality and safety of the service for people.

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

Rating at last inspection

The last rating for this service was good (published 26 October 2017).

Why we inspected

This inspection took place in response to concerns we received about the safety and quality of care and support provided to people and about the management and leadership of the service. A decision was made for us to inspect and examine those risks during the inspection.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.

We also looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

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.