Background to this inspection
Updated
21 December 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
The inspection was carried out by one inspector.
Service and service type
Foxglove Care Limited - 82 Willowdale 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 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 the inspection
We contacted the local authority contracting and safeguarding teams to ask for their views of the service. We reviewed information we had received from the provider about people at the service since the last inspection, such as, restrictions placed on people, injuries, deaths and allegations of abuse. We also looked at information we already held about the service and what people had told us. We used all 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 one person about some of their experience of care. We observed people interacting with staff who supported people to tell us about living at 82 Willowdale. We spoke with the registered manager, a team leader and two support staff. We viewed a range of records. These included two people’s care files, medication sheets, quality assurance, premises safety and staffing documents. We looked around the premises.
After the inspection
We continued to seek clarification from the provider to validate evidence we found. We looked at training data and information on staff and service users’ surveys. We also spoke with relatives of the people that used the service.
Updated
21 December 2019
About the service.
Foxglove Care Limited - 82 Willowdale is a residential care home. It provided personal care to 2 people at the time of the inspection. The service can support people with a learning disability or autistic spectrum disorder.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People's experience of using the service and what we found.
People were safely supported and protected from harm. Safeguarding systems were followed and risk was well managed to keep people safe. Sufficient numbers of suitably recruited staff were employed. Staff managed medicines safely and followed good infection control and prevention practices to protect people from harm. Staff learnt lessons from previous events that may not have gone as well as expected.
People's needs were met, through effective assessment and reviewing of support. People were supported by suitably trained staff who knew about people’s needs and diagnosed conditions. People led comfortable lives having their own designated spaces in a suitably designed premises. Staff worked well with other social and healthcare professionals, for the benefit of people they supported. 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’s differences were understood and respected. Staff also respected one another. The provider promoted people’s privacy and dignity and encouraged their independence. People’s views on their care and support were listened to and they were supported by caring and compassionate staff. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
Staff provided individualised support to people in a way that suited them best, and through following person-centred support plans. People's communication needs were assessed and well met using systems and good practice. Their concerns, and any raised by families, were satisfactorily responded to, addressed and managed. People were assured a good end of life experience when the time came.
The registered manager promoted a positive culture among the workforce. They and the staff team
understood and acted on their duty of care responsibilities to be open and honest. Staff were clear about their roles, monitored people's changing needs and sought to improve the care people received. They engaged and involved people in deciding what care they were given and how. Partnership working was well established with other organisations or agencies for the benefit of people that used the service. All of this meant people experienced a well-run service where their needs were met.
For more details, please see the full report which is on the Care Quality Commission website at
www.cqc.org.uk
Rating at last inspection.
At the last inspection the service was rated good (published 1 July 2017).
Why we inspected.
This was a planned inspection based on the previous rating.
Follow up.
We will continue to monitor intelligence 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.