Foxton Court

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes, promoted a good quality of life and was based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff undertook pre-assessments of people’s needs before they moved into the service. Assessments included details of health, mobility and social needs and staff identified any risks people may face. Risks were assessed and measures put in place to support people to manage these. Ongoing monitoring of people’s changing needs took place to ensure staff could support people fully.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. One person who had stayed at the service on respite, told us, “The care and support I received was amazing. I cannot thank the staff enough.”

Care plans were updated regularly and the provider continued to undertake care plan spot checks to confirm this. We found a small number of care plans which needed further review, including updating bed setting information. The registered manager acknowledged this and said this would be addressed.

People’s nutritional and hydration needs, including those with specific dietary needs, were delivered and monitored by trained staff. Kitchen staff were praised by people and their relatives for the range of food they prepared. We observed people were offered a wide range of drinks and had regular access to snacks throughout the day. Kitchen staff took on board feedback and implemented changes to further improve the delivery of meals.

The provider followed International Dysphagia Diet Standardisation Initiative (IDDSI) standards, to make sure people received food and drinks that met their dietary needs and personal preferences. People’s records showed prompt referrals to professionals, such as speech and language therapists, dietitians and specialist teams. Staff followed professional advice and updated people’s support when needed.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff had good relationships with external healthcare professionals, such as GP’s, district nurses and local authority commissioning teams. This meant people received effective and timely care. A healthcare professional said staff are helpful and added, “Staff know the resident’s extremely well and are often able to give valuable information relating to the resident, their condition and their needs to support reviews.”

The provider supported people to manage their health and wellbeing to maximise theirindependence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Care records evidenced a highly responsive and person-centred approach to healthcare support, with a wide range of professionals involved in helping people achieve the outcomes that mattered most to them. Referrals were made promptly and appropriately, ensuring people received timely specialist support. Staff consistently acted on professional advice and worked collaboratively with healthcare teams to deliver coordinated care.

Staff were strong advocates for people, ensuring their voices, preferences and wishes remained central to decision-making. A healthcare professional told us, “Staff often advocate for residents, and will let us know a resident’s preferences or seek a review if they feel a symptom is not controlled.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

We discussed with the registered manager the need to enhance the recording of outcomes for some people as they were sometimes limited in detail. They agreed to review this.

Outcome monitoring was supported by regular care plan reviews and involvement from a variety of healthcare professionals. Staff discussed changes in people’s needs with them and their families regularly to ensure they continued to be met.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were involved in everyday decisions with staff seeking permission before providing care and support. A person told us, "They treat me respectfully" and "I think they go the extra mile. They are kind and gentle. They listen and do their best. I can’t praise them highly enough.”Observations confirmed staff respected people’s choices and decisions and care was provided in the least restrictive way.