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Inspection Summary


Overall summary & rating

Good

Updated 1 November 2018

This inspection took place on 26 September 2018 and was announced. At our last inspection in April 2016, we asked the provider to take action to make improvements to their recruitment procedures. The service was rated overall Good. However, a rating of requires improvement had been identified in the 'safe' domain due to the improvements needed in the recruitment of staff. The provider sent an action plan telling us how they would address these concerns. At this inspection we found improvements had been made and there was no longer a breach.

Foxhills Farm 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. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.” Registering the Right Support CQC policy

Foxhills Farm can accommodate up to 4 younger adults in one adapted building. The home has two floors accessed via stairs, three communal areas and large outside space where people could choose to spend their time. At the time of the inspection 4 younger adults who were living with learning disabilities and complex needs.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Prior to this inspection we had received concerns about staffing and the environment. We found the service had worked well to make improvements andno concerns were identified on the inspection..

People were protected against abuse because staff had received training and understood their responsibility to safeguard people. Concerns were reported and investigated.

Staff were aware of the need to treat people as individuals and ensure care reflected their individual needs. Risks associated with people’s needs were assessed and action was taken to reduce these risks.

People were supported to ensure they received adequate nutrition and hydration.

Staff worked well as a team and people were supported to maintain good health and had access to appropriate healthcare services.

Staff sought people’s consent and applied the principles of Mental Capacity Act 2005 (MCA) when this was needed, but records of this needed improving.

Observations reflected people were comfortable and relaxed in staff’s company. People were cared for with kindness and compassion. People’s privacy and dignity was respected and they were encouraged to be involved in making decisions about their care. Staff responded to people’s changing needs, supported them to maintain good health, have access to appropriate healthcare services and ensured a person centred service.

The provider’s recruitment process ensured appropriate checks were undertaken to ensure staff suitability to work in the home. People told us that how they felt staff had the skills and knowledge to care for them. Staff received supervisions and training to help them in their role.

There was a process in place to deal with any complaints or concerns if they were raised. Complaints were investigated, outcomes shared with people and staff.

Communication was open and staff felt supported and able to raise concerns at any time. They were confident these would be addressed. People, their families and staff had the opportunity to become involved in developing the service. The service aimed to ensure good quality care was delivered and there were s

Inspection areas

Safe

Good

Updated 1 November 2018

The service was safe.

The provider�s recruitment process had improved and ensured appropriate checks were undertaken to ensure staff's suitability to work in the home. There were sufficient staff to meet people�s needs.

People were protected against abuse by staff who understood their responsibility to safeguard people.

Risks associated with people�s needs were assessed and action was taken to reduce these risks.

Medicines were managed safely.

Effective

Good

Updated 1 November 2018

The service was effective.

Assessments of people�s needs were completed to ensure they could be met. National guidance was used to support staff practice.

Staff received supervisions, appraisals and training to help them in their role.

People were supported to ensure they received adequate nutrition and hydration.

Staff worked well as a team and people were supported to maintain good health and had access to appropriate healthcare services.

Staff applied the principles of the Mental Capacity Act, 2005 (MCA).

Caring

Good

Updated 1 November 2018

The service was caring.

Observations reflected people were comfortable and relaxed in staff�s company. People were cared for with kindness and compassion.

People�s privacy and dignity was respected and they were encouraged to be involved in making decisions about their care.

Responsive

Good

Updated 1 November 2018

The service was responsive.

Staff responded to people�s needs and ensured a person centred service.

People were provided with appropriate mental and physical stimulation.

There was a process in place to deal with any complaints or concerns if they were raised. People told us they knew how to complain but had not needed to.

Well-led

Good

Updated 1 November 2018

The service was well-led.

Staff felt supported by the registered and regional manager. They felt able to raise concerns at any time and were confident these would be addressed.

The provider�s values were clear and understood by staff. People, their families and staff had the opportunity to become involved in developing the service.

The service aimed to ensure good quality care was delivered and there were systems in place to monitor the quality and safety of the service provided.