Foresight Residential Limited - 66 Leeds Road

Updated 18 March 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Foresight – 66 Leeds Road is a ‘care home’. People in care homes receive accommodation and 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.

The service had a manager registered with the Care Quality Commission. 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and 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 spoke with six people who used the service about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy manager, five support workers and the cook.

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

Updated 18 March 2020

About the service

Foresight Residential Limited - 66 Leeds Road is a residential care home providing support and some personal care for up to 10 people. At the time of the inspection there were 10 people using the service. The building is an adapted detached house located close to the centre of Harrogate.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 10 people. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, cameras or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

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. People's support focused on them having opportunities for them to gain new skills and become more independent although some goals and objectives needed recording and reviewing in a clearer way.

People told us they felt safe and secure within the home and systems in place supported their safety. Risks to people’s health and safety were assessed and mitigated and positive risks were taken to help ensure people accessed the community. Medicines were managed in a safe and proper way. There were enough staff deployed to ensure people received a high level of support. Incidents were recorded and lessons learnt when things went wrong.

People received effective care that met their needs. People had a good choice of food and nutritional needs were met. The service liaised with the range of health professionals to help ensure needs were met. 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. The premises were appropriately adapted to meet people’s individual needs.

Staff were kind and caring and treated people well. People had influence on their care and how the service was run. Staff treated people with dignity and respect and helped promote their independence.

People’s care needs were assessed, and a range of care plans put in place which were regularly updated. These were clear and person-centred. The service was meeting the requirements of the accessible information standard, ensuring the needs of those with communication difficulties were met. Care plans needed more information recording about how the service helped people to maintain relationships. We have made a recommendation relating to this.

There was an open and inclusive culture within the home. People and staff praised the management team and said they felt able to approach and discuss issues with them. A range of audits and checks were undertaken, and these had been improved since the last inspection. Provider visits were however still inconsistent. We have made a recommendation regarding this.

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 21 July 2017).

Why we inspected

This was a planned inspection based on the previous rating

Follow up

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