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Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 May 2019

About the service: Foxton Grange is a care home that was providing personal and nursing care to 27 people living with dementia aged 65 and over at the time of the inspection.

People’s experience of using this service:

¿There had been several different managers since our last inspection in 2016 which had impacted on the stability of the home and staff morale.

¿Action plans to address shortfalls identified through the systems in place to monitor the quality and performance of the service, had not always been completed in a timely way.

¿Care plans needed to be improved to enable staff to provide care in a more person-centred way.

¿Complaints had not always been addressed within the timescales laid down in the providers policy.

¿Staff were friendly, passionate about their work and caring; they treated people with respect, kindness, dignity and compassion.

¿People developed positive relationships with staff.

¿People were protected from the risk of harm and received their prescribed medicines safely.

¿Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.

¿ Staff had access to the support, supervision and training that they required to work effectively in their roles.

¿People were supported to maintain good health and nutrition.

¿Staff knew their responsibilities as defined by the Mental Capacity Act 2005 (MCA 2005). The provider was aware of how to make referrals if people lacked capacity to consent to aspects of their care and support and were being deprived of their liberty.

¿Information was provided to people in an accessible format to enable them to make decisions about their care and support.

¿The service met the characteristics for a rating of “good” in three of the five key questions we inspected and rating of “requires improvement” in two. Therefore, our overall rating for the service after this inspection was “requires improvement”.

More information is in the full report

Rating at last inspection: Good (report published 16 September 2016)

Why we inspected: This was a scheduled inspection based on previous rating.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas

Safe

Good

Updated 22 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 22 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 22 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 22 May 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 22 May 2019

The service was not always well-led

Details are in our Well-led findings below.