Foxton Court

Updated 19 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Foxton Court 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. The home is not registered to provide nursing care. The home is a purpose facility with accommodation is in single rooms. At the time of the inspection there were 45 people using the service.

This inspection took place on 19 November 2018 and was unannounced. The inspection team consisted of one inspector.

Before the inspection we reviewed information available to us about this service. The registered provider had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed safeguarding alerts; share your experience forms and notifications that had been sent to us. A notification is information about important events which the provider is required to send us by law.

During the inspection we spoke with six people who lived at the home and three relatives of people who used the service. We also spoke with the acting manager, the provider's quality assurance director (who was the current registered manager for the home), a senior care worker, a care worker, kitchen staff and the wellness co-ordinator.

We observed care provided by staff during the inspection and the interaction between staff members and people who used the service. We looked at a range of documents including three care records for people who used the service, the electronic medicine administration system, four staff files, staff training and supervision records, and a range of audits and other management and meeting records.

Updated 19 December 2018

This inspection took place on 19 November 2018. The inspection was unannounced. This meant the provider was not aware we would be visiting the home. At our last inspection we rated the service as good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format

because our overall rating of the service has not changed since our last inspection.

Foxton Court 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. The home is a purpose facility with accommodation in single rooms all of which have en-suite facilities. The home is not registered to provide nursing care.

The home had a registered manager in post, although this individual was now working as the provider’s quality director and the deputy manager was acting up into the role of the home manager.

Risks within the service were recorded, monitored and reviewed. The provider had a safeguarding policy in place and staff understood safeguarding matters. Sufficient staff were employed to support people's personal care needs. Some people felt staff could be busy at times but this did not affect the quality of care they received. Medicines in the service continued to be managed and monitored appropriately. The service was maintained in a clean and tidy manner.

People's needs were assessed and care delivered in line with these needs. Staff had undertaken a range of training and had sufficient skills and experience to support people with individual care. Staff were subject to regular supervisions and an annual appraisal. People were supported with a healthy diet and specialist requirements were supported and catered for.

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. Family members were involved in decisions as much as practical. The environment was homely, warm and welcoming. People's rooms were personalised.

People appeared happy and relaxed in staff company and we noted good relationships between staff and people who used the service. Relatives we spoke with praised the care and told us their relations were well looked after. People were supported to make day to day decisions and were involved in care plan reviews, although these were not always clearly noted in monthly reviews. People's privacy and dignity were respected and staff promoted and encouraged independence.

Care records contained information that supported staff to deliver care that met the individual's needs. Care was reviewed and families were involved in these reviews. People were supported to access a range of events and activities. There had been seven recent formal complaints about the service which had been dealt with formally and appropriately.

People and families told us the acting manager was approachable and helpful. Staff told us they were friendly and supportive. Some staff told us teamworking could be an issue at times. The manager told us, and records confirmed this was being addressed.

Regular audits and checks were in place to monitor the quality of the service. Records were maintained and up to date. Daily records were regularly completed. The service was meeting legal requirements by displaying the current quality rating and submitting notifications to the Commission.