CQC report explained · a residential care home
What the CQC found at Foxley Lodge Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable safeguarding and risk arrangements, safe medicines practice and good infection control. An electrical equipment safety check was two weeks overdue, and one recruitment record did not explain a reference discrepancy.
- Effective?
- Good
- Care needs were assessed and care plans gave staff information about people's support, choices and health needs. Staff had relevant training, people were supported with food and drink, and healthcare advice was followed.
- Caring?
- Good
- This question was not rated in this report. Inspectors observed that staff were calm, kind and respectful.
- Responsive?
- Good
- This question was not rated in this report. The report says the home used residents' views to make changes to food menus and activities.
- Well-led?
- Good
- Inspectors found regular audits, reviews of accidents and complaints, and open communication about the management changes. The new home manager and deputy manager provided management support.
What inspectors found, November 2021
Foxley Lodge Residential Care Home is rated Good; inspectors found safe, kind care, with minor record-keeping issues and a recently changed management team.
This was an unannounced inspection on 14 October 2021 by two inspectors. They spoke with three people and staff, observed care, and checked care records, medicines, recruitment files, training and management records. The inspection followed concerns about safety, care quality and management.
The home was rated Good overall. Safe, Effective and Well-led were each rated Good. Inspectors found enough staff, safe medicines practice, suitable training, clean premises and care plans that explained people's needs. People were treated calmly, kindly and respectfully.
The provider had recently made management changes after a serious incident involving the former registered manager away from the home. The new home manager was running the service and had applied to become the registered manager. Inspectors found no evidence that people were at risk of harm from the concerns that led to the inspection.
Kind and respectful staff
Staff knew people well and supported them in a calm, kind and respectful way. Inspectors also saw staff respond promptly while protecting a person's dignity.
“Staff were calm, kind and respectful of people.” from the report
Safe medicines
People received their prescribed medicines safely. Inspectors found medicines stocks, balances and records were consistent, and audits had not identified concerns.
“People received their medicines safely and as prescribed.” from the report
Good support with health and nutrition
Staff supported people to eat and drink enough and followed healthcare advice. Two people who had lost weight were eating better and regaining weight.
“Staff followed their recommendations and both people were now eating better and regaining weight.” from the report
Positive management checks
The home manager used audits, feedback, accidents, incidents and complaints to identify improvements. Staff and people said the service continued to operate normally despite the management changes.
“The home manager undertook regular audits and checks to monitor and review the quality and safety of the service.” from the report
Electrical safety check was overdue
minorThe annual portable appliance test was two weeks overdue at the inspection. The manager said this was because of the external contractor's availability and that it would be completed by November.
“We noticed the annual portable appliance test (PAT) of electrical equipment was overdue by two weeks at the time of this inspection.” from the report
- 01Has the overdue portable appliance test been completed, and can you show us the latest safety-check records?
- 02How do you now record and check references when the reference obtained is different from the referee named on an application?
- 03Has the home manager's application to become the registered manager been approved, and who is currently legally responsible for the service?
- 04How are care plans reviewed for people living with dementia, and how are changes in their needs shared with staff?
- 05How do you monitor people's food and drink intake and respond if someone loses weight?
This was a focused inspection of Safe, Effective and Well-led, including infection control; Caring and Responsive were not rated in this report. This explanation was written from the published report of 10 November 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, September 2020
Inspected but not rated; inspectors found good Covid-19 infection control and support for family visits.
This was an announced, targeted inspection on 7 August 2020. It looked at infection prevention and control during the Covid-19 pandemic, rather than carrying out a full inspection of the home.
Inspectors were assured that the home had arrangements for visitor screening, testing, personal protective equipment, social distancing, hygiene and managing possible outbreaks. Staff had training and support about infection control and supporting people living with dementia.
The home also supported visits from relatives and friends in sheltered garden areas. The service was described as safe, but it was not given a formal rating at this inspection.
Visitor screening
Visitors were screened for symptoms, had their temperatures taken and were required to follow face covering and handwashing arrangements before entering.
“Visitors were required to have their temperatures taken, complete a Covid 19 risk assessment which included screening for symptoms of Covid 19 before being allowed to enter the home.” from the report
Testing and infection control
The home had arrangements to test people and staff, and inspectors were assured that PPE, hygiene and outbreak prevention measures were being used appropriately.
“The provider had appropriate arrangements to test people and staff for Covid 19 and was following government guidance on testing.” from the report
Family contact
People were supported to keep in touch with relatives and friends through structured visits in sheltered garden areas, with distancing and cleaning between visits.
“People were supported to have visits from their relatives and friends in sheltered areas of the garden where two metre social distancing was observed.” from the report
Staff support
Staff received training about infection control, PPE and supporting people with dementia during the pandemic. The home also made mental wellbeing support available to staff.
“The provider made appropriate support services available to staff in order to support their mental wellbeing through the pandemic and if they became unwell and when they returned to work.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control and visitor screening arrangements are in place now?
- 02How are people and staff tested if there is a suspected infection or outbreak?
- 03How is PPE used and checked by staff in different areas of the home?
- 04How are visits from relatives arranged now, and how are visiting areas cleaned?
- 05What support is available to people living with dementia to understand infection risks and restrictions?
This was a targeted inspection of infection prevention and control during the Covid-19 pandemic; it did not provide ratings for the other four questions or a full overall rating. This explanation was written from the published report of 3 September 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Foxley Lodge Residential Care Home
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- November 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Foxley Lodge Residential Care Home →
- September 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Foxley Lodge Residential Care Home →
- October 2017Goodup from Requires improvementSafe: GoodEffective: GoodWell-led: Good
- September 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2014Inspected but not rated
- February 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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