Foxwood Lodge Residential Care Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

This is the first assessment for this newly registered service. This key question has been rated outstanding. This meant services were tailored to meet the needs of individuals and delivered to ensure flexibility, choice and continuity of care.

This service scored 91 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider was exceptional at making sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

People received extremely person-centred care that focused on achieving the best possible outcomes and supporting them to live the lives they wanted.

Care plans and risk assessments were tailored to people's individual support, health, wellbeing and safety needs. Detailed pre-admission assessments involved people, relatives, advocates and healthcare professionals. Staff took time to understand people's life histories, experiences and aspirations to ensure support reflected what mattered most to them.

People chose how they spent their time and were supported to pursue interests meaningful to them. People participated in holidays, shopping trips, meals out, concerts, volunteering opportunities and education.

Staff worked creatively with people to achieve personal goals. One person had been supported through emotional regulation work, Wellness Recovery Action Planning (WRAP), reflective learning sessions and personalised roadmaps. This contributed to a significant reduction in incidents and supported their transition towards supported living. Another person progressed from highly restrictive staffing arrangements to attending college and pursuing greater independence.

Staff also supported people to express who they were. For example, one person's gender identity and preferences were reflected in their care planning and support.

The provider had an exceptional understanding of the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People experienced coordinated care which helped them achieve positive outcomes and maintain important relationships.

The registered manager maintained regular contact with relatives, advocates and healthcare professionals and provided weekly updates about people's progress and wellbeing. This helped ensure people important to them remained fully informed and involved in their care.

Healthcare professionals consistently reported staff worked collaboratively, were receptive to advice and acted promptly on recommendations. This contributed to people being supported to move successfully from hospital and more restrictive settings into community-based care. One professional described the service as “very flexible and adaptable” and praised the provider's communication, assessment processes and ability to support people with highly complex needs.

People were supported to be active members of their communities. They attended local shops, events, college, volunteering opportunities and social activities. The provider also worked with local organisations and community groups, challenging stigma around mental health and promoting inclusion.

The provider gave people information in ways that met their communication needs and supported them to understand their care, rights and choices. Information was adapted to meet individual needs and preferences.

Staff recognised that people communicated in different ways and adjusted their approach accordingly, particularly when people were experiencing emotional distress. Communication support formed part of people's care planning and helped staff provide consistent support.

Easy read documents had been developed to help people access important information. People also had access to information about the service, activities, complaints and other key topics through noticeboards displayed in communal areas.

People were provided with information to help them understand decisions about their care and support. Records showed accessible information standards, consent processes and person-centred reviews were used to support people to make informed choices.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

People had regular opportunities to discuss what was important to them and influence how support was delivered. Care plans were reviewed regularly and records showed people and, where appropriate, relatives were involved in these reviews. There were monthly key worker meetings and some people chose to have additional weekly check-ins to discuss goals, progress and any changes they wanted to make.

The provider held resident meetings and sought feedback through a variety of methods. People were encouraged to discuss their experiences, raise concerns and contribute ideas about activities, meals and other aspects of life at the home.

People told us they knew who to speak with if they had concerns. One person said they would go directly to the registered manager if they needed support.

The provider made sure that people could access the care, support and treatment they needed when they needed it.

Staff monitored people's changing needs and acted promptly when additional support or specialist input was required.

The environment was accessible and adapted to meet people's needs. People had access to equipment, specialist support and healthcare services where required. For example, when one person's health deteriorated, staff sought support from a range of healthcare professionals. Concerns regarding swallowing were referred to speech and language therapist, dietary support was introduced and weight was monitored with healthcare professionals. Following a hospital admission, appropriate equipment was introduced to support skin integrity and reduce further risks.

Staff worked closely with relevant professionals whenever people's needs changed, helping ensure people continued to receive the right support and care.

Staff and leaders were innovative in how they listened to information about people who are most likely to experience inequality in experience or outcomes. Staff and leaders actively used this information to provide exceptionally tailored care, support and treatment in response to this.

Care was focused on reducing inequalities and helping people overcome barriers created by trauma, mental ill health and previous restrictive environments.

People experienced significant and sustained improvements in their independence, wellbeing and quality of life. One person progressed from requiring highly restrictive levels of support to engaging in community activities and developing greater independence at home. The number of incidents requiring physical intervention reduced dramatically as a result of the support provided.

Healthcare professionals consistently described exceptional outcomes. One professional told us, “The progress [person] made was remarkable. [Person] was able to undertake tasks independently and attend events that many professionals had previously felt might not be achievable.” Another described the reduction from 5:1 staffing to 1:1 support, alongside the absence of police involvement and hospital admissions, as “an incredible achievement.”

These outcomes demonstrated how staff tailored support to people's individual needs, strengths and aspirations, enabling people to achieve goals that may previously have seemed unattainable.

People were given exceptional support to plan for important life changes, so they could make informed decisions about their future, including at the end of their life.

The provider supported people to plan for important life changes and helped them make informed decisions about their future. Support focused on helping people achieve their goals, increase independence and move successfully through different stages of their lives.

People had personalised roadmaps, reviews and future planning discussions which identified aspirations and the steps needed to achieve them. There were relevant care plans in place to support transitions. Several people were being supported to prepare for supported living and had made significant progress towards this goal.

Staff regularly reviewed people's progress and worked with relatives, advocates and professionals to ensure future plans reflected people's changing needs. For one person, reviews identified a different care setting may better meet their needs and staff supported assessments with alternative providers.

The provider also demonstrated compassion and sensitivity when supporting people and relatives through significant life events. A healthcare professional described how staff worked collaboratively following the death of a person they had supported and ensured arrangements reflected the person's wishes and importance to those who knew them.