Background to this inspection
Updated
1 August 2019
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 undertaken by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Foxearth Lodge Nursing Home 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 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 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 reviewed all of the information we held about the service, this includes the previous inspection report and information received from the service about incidents and how they were managed. We received feedback from the professionals who commissioned the service. We used all of this information to plan our inspection.
During the inspection
We spoke with 12 people who used the service and three relatives about their experience of the care provided. We spoke with nine members of staff including two of the managing directors, registered manager, assistant manager, senior team leaders, care staff, training manager and housekeeping staff. We observed the care and support provided and interaction between staff and people using the service.
We reviewed a range of records. This included three people’s care records and medicines records. We looked at three 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
1 August 2019
About the service
Foxearth Lodge Nursing Home is a residential care and nursing home, providing personal and nursing care to 62 older people at the time of the inspection. Some people were living with dementia. The service can support up to 67 people across two units, Woodlands, for people living with dementia and Foxearth Barns which provides care and nursing care, some people living on this unit also lived with dementia.
People’s experience of using this service and what we found
People received a service from staff who understood how to keep them safe from abuse and avoidable harm. Systems supported effective assessment and mitigation of risks. People were provided with a clean and hygienic environment to live in. Medicines were managed safely. Systems were in place to provide people with support from staff when needed. Recruitment of staff was done safely.
People were cared for by staff who had received training to meet their needs. 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 received effective health care and there were systems to ensure their dietary needs were met. The environment was suitable for the people who lived there.
People received a caring and compassionate service. People’s independence and privacy was respected. People choices about their care was promoted and respected.
People received individualised care to meet their assessed needs. People were asked for their choices about the care they received at the end of their lives at this was respected. People had the opportunity to participate in activities which interested them. There was a complaints procedure in place and people’s concerns and complaints were addressed in a timely way.
Systems to assess and monitor the service people received were in place. These had improved since out last inspection and any shortfalls were identified and addressed. There was a service improvement plan in place which demonstrated that they continued to develop.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 14 August 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.