Background to this inspection
Updated
28 April 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector
Service and service type
Foxhole House 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. Foxhole House 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
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.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with a relative and two staff members by phone prior to the inspection. We also reviewed the person’s care plan and staff recruitment records. During the inspection we spoke with the registered manager and a staff member. We looked at a range of records including health monitoring records, infection control records, medicines records and records showing how the quality of the service was monitored and reviewed.
After the inspection
We spoke with a relative and continued to seek clarification from the registered manager to validate the evidence found.
Updated
28 April 2022
About the service
Foxhole House is a residential care home providing accommodation and personal care for one person. The service provides support to younger adults who have a learning disability or autism. At the time of our inspection there was one person using the service. Foxhole House is a detached bungalow in a residential area.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support
The model of care and setting maximised people’s choice, control and independence. People were supported to develop their independence and take control over their own lives. People made choices and took part in meaningful activities which were part of their planned care and support. People were supported to make decisions by staff who used best practice in decision-making and communicated with people in ways that met their needs. People’s care and support was provided in a safe, clean, well equipped, well-furnished and well-maintained environment which met their sensory and physical needs.
Right care
People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood and responded to their individual needs. People were protected from abuse and poor care and any concerns were robustly addressed. The service had enough appropriately skilled staff to meet their needs and keep them safe. People who had individual ways of communicating, using Makaton (a form of sign language), pictures and symbols were able to interact comfortably with staff and others involved in their care and support.
People enjoyed undertaking activities and pursued interests that were tailored to them. They were given the opportunity by staff to actively engage and try new activities. Staff ensured individualised risk assessments were undertaken. Where appropriate positive risk taking was encouraged and enabled.
Right culture
People lead confident, inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care and support from trained staff and specialists who were able to meet their needs and wishes. People were supported by staff who understood best practice in relation to focusing on and developing people’s strengths. This meant they received compassionate and empowering care that was tailored to their needs.
Staff placed people’s wishes, needs and rights at the heart of everything they did. Staff knew and understood people well and were exceptionally responsive, working to understand people’s aspirations so they could live a quality life of their choosing. People and those important to them, were actively involved in planning their care.
People’s quality of life was enhanced by the culture of improvement and inclusivity within the service
New staff were recruited safely and received a comprehensive induction.
Staff understood how to manage and administer medicines safely.
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.
All aspects of the service, including incidents, were reviewed on a regular basis to identify any areas that could be improved.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 3 November 2020 and this is the first inspection.
Why we inspected
This is the first inspection of this newly registered service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.