Foley Grange

Updated 11 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 team consisted of 2 inspectors 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

Foley Grange 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. Foley Grange 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

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 9 people who used the service and 3 relatives about their experience of the care and support provided. We spoke with 10 staff, which included the registered manager, deputy manager, care manager, regional director, team leaders, care staff, housekeeping staff, and kitchen staff. We requested feedback from 4 external health and social care professionals and received feedback from 2 professionals. We reviewed aspects of 3 people's care records, 4 staff recruitment records, training records, staff rotas and documents in relation to the governance of the service.

Updated 11 November 2023

About the service

Foley Grange is a residential care home providing the regulated activity accommodation for people who require personal care. Foley Grange accommodates 66 people in one adapted building. The service provides support to older people who may have dementia, mental health, or sensory impairment care needs. At the time of our inspection there were 36 people using the service

People’s experience of the service and what we found:

People felt safe and supported by the staff who worked at Foley Grange. Staff recognised different types of abuse and how to report it. The registered manager understood their safeguarding responsibilities and how to protect people from abuse. People’s care had been planned and potential risks to people had been identified, with mitigation in place to protect people from potential harm. There were enough staff on duty to keep people safe and meet their needs. People's medicines were managed and stored in a safe way. Recruitment processes were robust to ensure safe employment of new staff. The home was clean and staff followed safe infection control practices.

People's care needs had been assessed and planned, and any changes to people’s planned care was identified. Staff received training and support to care for people in line with best practice. People were supported to have a healthy balanced diet and enjoyed a varied choice of home cooked food. Staff worked with external healthcare professionals and followed their guidance and advice in support people in line with best practice. 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 who treated them well. One person said, “very pleasant doesn’t feel like a hospital, it’s like home from home.” Staff treated people as individuals and respected the decisions they made. Staff treated people with respect and maintained their dignity.

People's care was delivered in a timely way, with any changes in care being communicated clearly to the staff team. People were supported to engage in a range of activities. People were supported to pursue interests which were individual to them. People had access to information about how to raise a complaint. People's end of life care needs were met in line with their preferences in a respectful and dignified way.

The provider had systems in place to monitor the quality of the service provision and drive improvement in all aspects of the service provision. People, relatives and staff were involved and engaged throughout. External professionals worked with staff to provide good outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was registered with us on 25 November 2021, and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about support to people with dementia and mental health care needs. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. However, we did find that Foley Grange supports people who have a lower level of care requirements and promote people’s independence as far as possible. Where some people’s dementia care needs or mental health needs have increased, due consideration is given as to whether staff can continue to safely support people within the home environment or if alternative placement is needed.

Follow Up

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