St Anne's Community Services - Foxview

Updated 21 September 2023

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.

Inspection team

One inspector and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience made telephone calls to relatives.

Service and service type

St Anne's Community Services - Foxview 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.

Registered manager

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 unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We observed staff providing care and support to 4 people using the service and spoke with 2 people’s relatives about their experience of the care provided. We spoke with 2 members of staff and received email feedback from 3 members of staff. We also spoke with the registered manager.

We reviewed a range of records. This included 4 people’s care and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, policies, and procedures.

Updated 21 September 2023

About the service

St Annes community services- Foxview offers a nursing short break service for people living with learning disabilities, physical disabilities and autistic people this enables a mutually beneficial service for people to have a good experience and their relatives to receive a break too. Up to 16 preregistered adults aged 18 and over are registered to use the service. Up to 4 people can be accommodated at any one time. At the time of inspection 4 people were using the service. There is also crisis accommodation attached which is currently not in use. St Anne's Community Services - Foxview is part of St Anne's Community Services, a Voluntary Sector Service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People's experience of using this service

Right Support: Care plans contained sufficient detail for staff to support people to lead the lives they wanted. Staff knew people well and we observed positive interactions. Staff demonstrated a good level of understanding of people’s strengths and promoted what they could do.

Right Care: The registered manager and staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. Staff engaged with people in a respectful and compassionate manner. One relative told us, “They’re brilliant 100%, very good at their job.” Another said, “Everything [name] needs is there.”

Staff understood how to protect people from abuse. The service worked with other agencies to do so. Staff had received safeguarding training and could describe the principals of it.

Right Culture:

Feedback was sought from people, one relative told us, “I’d be comfortable to speak to the manager. We’re all very involved as a family. We don’t hesitate to speak up we are {name] advocates.

The registered manager and staff ensured the quality and safety of the service had been fully assessed to ensure people were safe. Safe recruitment practices were followed. Staff knew and understood people well. People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.

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

Rating at last inspection

The last rating for this service was requires improvement (published 11th March 2019).

Why we inspected

This was a follow up inspection. We undertook this inspection to assess that the service is applying the principles of Right support right care right culture.

Enforcement: At the last inspection we identified a breach of regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014; staffing. At this inspection we found improvements had been made and the provider was no longer in breach of regulation 18.

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 comprehensive inspection, by selecting the ‘all reports’ link for St Anne's Community Services – Foxview on our website at www.cqc.org.uk.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.