Background to this inspection
Updated
6 February 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.
Inspection team
The inspection team consisted of one inspector, a specialist professional advisor and two Experts by Experience (EbyE). The Eby E made phone calls to people and their relatives. An ExE is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Foxbridge House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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. The inspection took place on 3 December 2020
What we did before the inspection
We reviewed the information we held about the service which included notifications of events and incidents at the service. 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 looked at six care files, medication administration record sheets for 30 people, quality assurance reports and other records relating to the management of the service including incidents and accidents records. We spoke with two people using the service, 23 relatives. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We also spoke with the registered manager, deputy manager, two qualified nurses and three care workers, the regional support manager, area quality manager, and quality development manager.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visited the service.
Updated
6 February 2021
About the service
Foxbridge House is a care home providing personal and nursing care to people aged 65 and over. At the time of our inspection 55 people were using the service. The care home can support and accommodate up to 84 people across four separate wings, each of which has separate adapted facilities.
People’s experience of using this service and what we found
Staff had received training in safeguarding adults and knew the actions to take to protect people from abuse. Risks to people were managed effectively to reduce harm to them. Lessons were learned from incidents and accidents. There were enough staff available to deliver safe support to people in a safe way. People’s medicines were administered and managed safely. Staff followed infection control procedures to reduce risks of infection.
People received support to meet their individual needs. People’s care plans were reviewed and updated regularly to reflect their current needs. People and their relatives were involved in planning their care and they were informed of any changes. Staff supported people to keep in contact and maintain relationships which mattered to them. Staff engaged people as much as possible to reduce the risk of social isolation. People had end of life care plans in place.
There was a complaints procedure available. People and their relatives knew how to complain if they were unhappy with the service. The registered manager addressed complaints received in line with their complaint’s procedure.
The quality of the service was regularly checked, and actions were put in place to drive improvement. The provider worked in partnership with other organisations to develop the service. The registered manager met their statutory responsibilities to the CQC.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: The last rating for this service was Good (2 February 2019)
Why we inspected
We received concerns in relation to people’s care and welfare and safeguarding allegations. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service remains Good. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, responsive and well-led domains sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Foxbridge House on our website at www.cqc.org.uk.
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.