Background to this inspection
Updated
28 March 2020
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 carried out by one inspector.
Service and service type
The Foam 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 reviewed information we held about the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people, the registered manager and two care staff. We reviewed care records for two people, including records related to medicines, risks and personalised care planning. We looked at two staff files and records related to staff training and supervision. We checked a variety of records related to the governance of the service such as audits, checks and minutes of meetings.
After the inspection
We spoke with one relative by telephone.
Updated
28 March 2020
About the service
The Foam is a residential care home providing care to 2 people with learning disabilities and autism at the time of the inspection, the service can support up to 3 people. People received care in a bungalow with individual bedrooms, a shared bathroom and communal spaces.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People said they felt safe and care was delivered in a way that managed risks whilst enabling people to do activities they wished to. People received their medicines as planned and staff ensured people lived in a clean and safe home environment. Staff understood how to identify and respond to suspected abuse and systems were in place to ensure any incidents could be documented and learned from.
People told us they liked the food staff supported them to prepare. Staff ensured people’s healthcare needs were met and people attended appointments as required. Staff were trained to carry out their roles and had regular supervision and appraisals. 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 said they liked the staff who supported them and we observed pleasant interactions between people and staff. People were involved in their care and supported in a way that helped them to develop skills and be independent. Staff provided care in a dignified way which was respectful of people’s privacy.
People received personalised care and attended activities each day with staff which matched their interests. Care plans were regularly reviewed and information had been gathered about end of life care. People knew how to complain and there were systems in place to respond to issues people raised.
People got on well with the registered manager and there were systems in place to gather people’s views and involve them in decisions about the service. Staff said they felt supported by management and their ideas were taken seriously. There were a variety of checks and audits in place to monitor and assure the quality of care people received.
The service applied the principles and of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 5 May 2017).
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.