Foxby Hill Care Home

Updated 24 July 2019

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. This inspection was planned to check 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

One inspector carried out this inspection.

Service and service type

Foxby Hill Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (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 CQC. 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.

What we did before the inspection

We looked at and reviewed information we held about the service, including notifications we had received from the provider. A notification is information about important events which the service is required to send us by law. We sought feedback from the local authority contract monitoring and safeguarding teams. 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 spoke with 12 people who used the service and three relatives. We spoke with the registered manager, a senior care staff member and three care staff. We spoke with one visiting healthcare professional. We looked at a range of documents and records related to people’s care and the management of the service. We viewed three people's care records, medication records, five staff recruitment and induction files, training and supervision information and a selection of records used to monitor the quality and safety of the service. 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.

After the inspection

We looked at some documentation we were given by the registered manager.

Updated 24 July 2019

About the service

Foxby Hill Care Home is a care home that accommodates up to 47 people in one adapted building that has been extended. The home is divided into two separate units. On the ground floor, up to 27 people live in Warren Lodge, which caters for people with a range of care needs. On the first floor, up to 20 people live in the Bluebell Unit which is reserved for people living with dementia. Foxby Hill Care Home was providing personal care to 47 people at the time of the inspection.

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

People were protected from harm or injury. Systems for managing risk, incidents, safety of the premises, staff and care practices were used to achieve this.

People experienced an effective service. This was because care was delivered in line with guidance and the law, staff were trained and supervised, and people were supported with their health and dietary needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The provider encouraged collaborative working with other services and adapted practices accordingly to give people an effective service of care.

People received support from staff who were caring and compassionate. Their needs were met in an anti-discriminatory way. Staff respected people’s privacy, dignity, independence and the choices they made.

People experienced responsive and person-centred care. They exercised choice and control of their lives and were satisfied with how concerns or complaints would be addressed. They were involved in the running of the service and experienced sensitive support with end of life care needs.

The provider met the requirements of their registration and worked well in partnership with other agencies, organisations and the local community. People were assured they could receive a good service.

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

Rating at the last inspection

Good (report published 1 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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