OSJCT Foxby Court

Updated 11 January 2024

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 3 inspectors. An expert by experience undertook phone calls for us following our inspection. 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

Foxby Court 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. Foxby Court 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 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 spoke with the local authority contracts team, reviewed the last inspection report for the service and statutory notifications sent to us from the service. We used all this information to plan our inspection.

During the inspection

As part of this inspection we spoke with the registered manager for the service, the area manager, the head of care for the service, 1 senior care worker, 4 members of care staff and 3 members of kitchen staff. We spoke with 5 people living at the service and 2 relatives. We observed people being supported at the service. We reviewed a mix of care records of 6 people, including care plans, risk assessments and monitoring information. We reviewed 6 staff files. Following our visit we spoke with 8 relatives by telephone to gain their views of the service.

Updated 11 January 2024

About the service

Foxby court is a residential care home providing accommodation and personal care to up to 46 people. The service provides support to older people. At the time of our inspection there were 35 people using the service.

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

The risks to people’s safety were not always well managed. This included managing the risks to people’s skin integrity and some aspects of people’s medicines. Information in people’s care plans required improvement along with some areas of cleanliness at the service.

A lack of oversight had impacted on the effectiveness of quality assurance processes at the service, this included the lack of recognition of trends affecting people’s skin care, oversight of cleaning, medicines and care plans. This lack of oversight put people at risk of not receiving care to meet their needs.

However there was a new registered manager and head of care at the service who were responsive to the issues we raised with them. The service had a staff group who received appropriate training for their roles and understood their responsibilities in relation to safeguarding people from abuse.

The provider maintained their established staffing levels to meet people’s needs and had safe recruitment processes in place.

Staff worked to maintain a person centred approach to people’s care and showed good knowledge of people’s needs. People were supported in a caring way and the management team worked in an open and inclusive way with people and their relatives.

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.

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 18 December 2017.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Foxby Court on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to Governance and Safe Care and Treatment at the service.

Please see the action we have told the provider to take at the end of this report.

Follow Up

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

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.