Foxley Lane

Updated 17 May 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.

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

This inspection was carried out by two inspectors.

Service and service type

Foxley Lane 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. Foxley Lane 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 not a registered manager in post. A new manager had been in post since January 2023 and was in the process of submitting an application to register. We will assess this application once this is received.

Notice of inspection

This inspection was unannounced.

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 observed interactions between people and staff to help us understand the experience of people who could not talk with us. We obtained feedback from 4 relatives. We spoke with the home manager, deputy manager, two care support workers and the regional operations director. We reviewed a range of records. This included 2 people's care records, records relating to medicines management, staff recruitment records and other records relating to the management of the service.

Updated 17 May 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

Foxley Lane is a residential care home providing personal care to 8 people at the time of the inspection. The service can support up to 8 people.

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

Right Support

The provider had acted to make improvements that were required after our last inspection. People now received care and support in a safer, cleaner, well equipped and well-maintained environment that met their sensory and physical needs. People received better support with their medicines to achieve the best possible health outcome. Staff supported people to have the maximum possible choice, control and independence and they had control over their own lives.

Right Care

People now received kinder, more compassionate care from staff and staff promoted equality and diversity in their support for people. 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. The home manager made sure there were enough appropriately skilled staff to meet people’s needs and keep them safe. They were actively recruiting new permanent staff for the service so that people would receive consistent care from staff who knew them well. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

Right Culture

The provider had improved the culture of care at the service. Staff now placed people’s wishes, needs and rights at the heart of everything they did. The home manager had good oversight of the service and understanding of people’s needs. Staff evaluated the quality of support provided to people, involving the person and their families and other professionals as appropriate. The service valued and acted upon people’s views. People’s quality of life was enhanced by the service’s improved culture of improvement and learning from incidents.

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 20 May 2022). 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

We carried out an unannounced inspection of this service on 6 April 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve dignity and respect, safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, caring, and well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Foxley Lane 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.