Foxmount

Updated 22 April 2022

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 Health and Social Care Act 2008.

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 was carried out by two inspectors.

Service and service type

Foxmount 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.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service.This included notifications about important events at the service and feedback shared directly with CQC. We used all this information to plan our inspection. We sought feedback from the local authority.

During the inspection

We observed staff interacting with people and looked at the premises. We spoke with four members of staff including the registered manager and three care staff. We observed the two people who use the service. We also spoke to the one person’s independent visitor. We reviewed a range of records. This included two people's care records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including audits and safety checks were reviewed.

After the inspection

We spoke with two people's relatives. We also spoke to three staff members and one professional who works closely with the service. We reviewed the evidence sent by the provider electronically. This included the service’s staff training and support data, records related to medicines, policies and procedures, feedback from professionals and other information related to the service.

Updated 22 April 2022

About the service

Foxmount is a 'care home'. Foxmount primarily supports people who express themselves through their behaviour, with learning disabilities, autism and mental health conditions. The service can accommodate up to five people in one adapted building.

There were two people living at Foxmount at the time of the inspection, each of which had an individually adapted flat. The first floor of the building has been designed to accommodate people who wish to come to Foxmount for respite.

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

People were supported to live safely in their homes within the community.

Staff understood people's needs and how to assist them to protect them from avoidable harm. Care plans and risk assessments were in place, which provided staff with guidance on how to meet people's needs and manage identified risks.

People were supported to receive their medicines safely and as prescribed.

The service had infection control processes and systems in place to reduce the risk of people contracting COVID-19.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: The provider had developed a model of care and an environment that maximised people’s choice, control and independence.

Right care: People’s care was planned and delivered with their individualised needs in plans. We saw many examples of how people’s care promoted their dignity, privacy and human rights.

Right culture: We saw how the vision, values, attitudes and behaviours of the registered manager and care staff supported people to be confident and empowered in living in the community.

People received care and support from a consistent staffing team which had been trained and supported to meet their needs. The care was personalised and the service was responsive to the needs of the people.

We received positive feedback from staff, relatives and professionals regarding the leadership in the home.

There was a quality assurance system in place to ensure people received the best possible service. The registered manager worked closely with partner agencies and services to promote best practice within the service and make a positive impact to people's lives.

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

Rating at last inspection and update

This service was registered with us on 26 February 2021 and this is the first inspection.

Why we inspected

We carried out an announced comprehensive inspection of this service on 11 March 2022. This was a planned inspection based on the service being newly registered. We 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 COVID-19 and other infection outbreaks effectively.

You can read the report from our last inspection, by selecting the 'all reports' link Upton Mill Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.