Foxglove Care Limited

Updated 18 November 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

The inspection was carried out by 1 inspector.

Service and service type

Foxglove Care Limited is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Foxglove Care Limited is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 6 November 2023 and ended on 7 November 2023. We visited the location’s service on 7 November 2023.

What we did before the inspection

We reviewed the information we 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person who used the service and 2 relatives about their experience of care provided. We spoke with 6 members of staff, including the operations manager, the registered manager, the home manager and 3 care workers.

We reviewed a range of records. This included 2 people’s care records and 2 people’s medication records. We looked at 1 staff file in relation to recruitment and supervision. We reviewed a variety of records relating to the management of the service. We also received information from 1 health care professional who visits the service.

Updated 18 November 2023

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.

About the service

Foxglove Care Limited, is a small residential care home and is close to local shops and amenities. The service is registered to provide support to adults who may be living with a learning disability or autism spectrum disorder. At the time of our inspection the service was providing personal care to 4 people. One person was a permanent resident and 3 people were receiving respite care. The service can support up to 4 people.

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

Right Support:

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. People were supported by staff to pursue their interests. People were able to personalise their rooms and staff enable people to access specialist health and social care support in the community. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.

Right Care:

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. People could communicate with staff and understood information given to them because staff supported them consistently and understood their individual communication needs. People’s care, treatment and support plans reflected their range of needs, and this promoted their well-being and enjoyment of life.

Right Culture:

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality of life of their choosing. Staff placed people’s wishes at the heart of everything they did, and ensured the risks of a closed culture were minimised so that people received support based on transparency, respect, and inclusivity. Relatives gave positive feedback about staff and told us they were happy with the service Foxglove Care provided.

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 6 October 2017).

Why we inspected

We received concerns in relation to the environment of the building. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern. The provider had taken action to mitigate the risks and was already compliant in areas we had previously identified. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Foxglove Care Limited - 96-98 Church Street, on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.