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Foxglove Care Limited - 3 The Causeway Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 August 2019

About the service

Foxglove Care Limited – 3 The Causeway is a small residential care home, in a residential area and is close to local shops and amenities. The service is registered to provide support to three younger adults who may be living with a physical disability, learning disability and autism. The service was supporting two people at the time of our inspection.

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 this service and what we found

Staff worked closely with healthcare professionals but we found they had not sought advice and guidance for one person after a fall. Care plans did not always reflect the care and support people needed, though staff were knowledgeable about people’s needs and how to support them with their own routines.

Quality assurance systems had not identified care plans were not always updated or accurately recorded people’s needs. Monitoring of the service was completed but records were not always available to show this. People, their families, staff and relevant professionals were involved in the development of the service.

Staff were fun, kind and caring. Relatives were happy with the care provided and said, “It's like a little family. There is a nice atmosphere when I visit.” Staff respected people as individuals and maintained their privacy and dignity.

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. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People were supported to take part in activities they enjoyed in the local community.

People were supported by a small group of consistent staff who were able to identify and report any concerns. Recruitment, induction and ongoing processes helped ensure only suitable staff were employed and that they had the required skills and knowledge. Staff were supported by the management team and received supervision and annual appraisals.

Staff supported people to have a healthy, balanced diet, tailored meals to people’s personal preferences and offered people choices. People received their medicines as prescribed. People were encouraged to participate in activities within the care home and the local community.

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.

Relatives and staff were happy with the management of the service; they could approach them at any time and were confident any issues would be quickly addressed. The registered manager had a ‘hands on’ approach to their role and used their own time to decorate people’s rooms. They were proud of the staff team and supported them in their professional development.

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 (published 31 December 2016).

Why we inspected

This was a planned ins

Inspection areas

Safe

Good

Updated 14 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 14 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 14 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 August 2019

The service was not always well-led.

Details are in our well-led findings below.