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Care Home: Foxglove Care Ltd

  • 18 Hall Leys Park Kingswood Hull East Yorkshire HU7 3GN
  • Tel: 01482826103
  • Fax: 01482826937
  • Planned feature Advertise here!

The home is on a large housing estate on the outskirts of Hull. There are plenty of amenities nearby like supermarkets, cinemas, bowling alley, restaurants, shops and pubs. The home is on a regular bus route. The ground floor comprises of kitchen/diner, lounge, dining room, utility room and downstairs toilet. The first floor comprises of 4 bedrooms and a bathroom. One of the bedrooms is used as an office; one is used as staff sleeping in accommodation. The other two are used by the people who live at the home. One has an en-suite bathroom and there is a bath room for the other person to use close to their bedroom. There is a garden to the front and the rear of the property.

  • Latitude: 53.771743774414
    Longitude: -0.3223865032196
  • Manager: Mrs Gillian Johnson
  • Price p/w: -
  • Locality:
  • Region:
  • UK
  • Total Capacity: 2
  • Type: Care home only
  • Provider: Foxglove Care Ltd
  • Ownership: Private
  • Care Home ID: 19790
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 29th April 2010. CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Foxglove Care Ltd.

What the care home does well The home is small and only caters for two people when full. There is lots of information available which tells people what the home can offer and how much this costs. People can have a look at this before they make a decision about moving in. There is a thorough matching process undertaken before someone moves in so every one gets along well. People`s needs are thoroughly assessed before they move into the home so they can be sure these can be met. Detailed information is kept about the people who live at the home so staff can make sure they look after them properly and meet all of their needs. People can see their doctor when they need to and have help from other health care professionals like nurses who specialise in learning disabilities, this makes sure people are kept healthy. Any complaints made about the service provided are well managed and investigated thoroughly and these are recorded. The services complaints procedure keeps people safe. There are enough well trained staff on duty to make sure people`s needs are met and thorough checks are made before staff start working at the home, this keeps the people safe from harm and not exposed to staff who should not be working with vulnerable people. All of the staff receive training about the needs of the people who live at the home. they also receive training about how to keep people safe and how to recognise if anyone is being subjected to any abuse. The service has a robust Quality Assurance System which identifies areas of improvement, this involves all those who have an interest in the care the people who live at the home receive. What has improved since the last inspection? The home is a new registration and this is their first inspection. What the care home could do better: We could not find anything which needs to improve due this effective system of self monitoring. Due to the service being newly registered there needs to be a period of evaluation and a demonstration of consistently good quality outcomes for the people who live at the home. This will be used to make a judgement about the homes quality at the next inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Foxglove Care Ltd 18 Hall Leys Park Kingswood Hull East Yorkshire HU7 3GN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: George Skinn     Date: 2 9 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Foxglove Care Ltd 18 Hall Leys Park Kingswood Hull East Yorkshire HU7 3GN 01482826103 01482826937 foxglovecare@foxglovecare.karoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Foxglove Care Ltd Name of registered manager (if applicable) Mrs Gillian Johnson Type of registration: Number of places registered: care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 2. The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning disabilities: Code LD. Date of last inspection Brief description of the care home The home is on a large housing estate on the outskirts of Hull. There are plenty of amenities nearby like supermarkets, cinemas, bowling alley, restaurants, shops and pubs. The home is on a regular bus route. The ground floor comprises of kitchen/diner, lounge, dining room, utility room and downstairs toilet. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 2 Brief description of the care home The first floor comprises of 4 bedrooms and a bathroom. One of the bedrooms is used as an office; one is used as staff sleeping in accommodation. The other two are used by the people who live at the home. One has an en-suite bathroom and there is a bath room for the other person to use close to their bedroom. There is a garden to the front and the rear of the property. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence, these include information that has been received about the home since the last inspection, information provided by the registered person on an Annual Quality Assurance Assessment (AQAA), comment cards received from 4 staff who work at the home. A site visit was carried out over 4 hours. We spoke with the people who live at the home and staff. We looked at the records relating to the people who live at the home, staff and management activities. We have reviewed our practice when making requirements to improve national Care Homes for Adults (18-65 years) Page 6 of 27 consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated it is likely that enforcement action will be taken. The date of the last inspection is not applicable as this is a new service first registered in November 2009. The team leader was available throughout the visit. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 8 of 27 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they move into the home. Evidence: A Statement of Purpose and Service User Guide is available for people to look at who are thinking of moving into the home. Both of these documents are given to people when they move in and are kept on peoples files. We saw that the manager, or some other relevant person, had explained the contents of both of the documents to the people who live at the home. There is a system of assessment in place which ensures staff know what peoples needs are and can meet them. In addition to the assessment a matching process is undertaken in conjunction with the placing authority and no one moves into the home unless they have been through the process, no emergency placements are made to the home. The service enters into an agreement with the local authority and the person and Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: copies of detailed contracts were available for us the look at. Care Homes for Adults (18-65 years) Page 12 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have been involved with the formulation of their care plans. People are supported to make decision about their lives. People are supported to take risk in their every day lives and thorough risk assessment are completed for all aspects of daily living. Evidence: Everyone who lives at the home has a detailed care plan. The peoples files contain essential information and risk action plans. The files are the working documents that the staff use on a daily basis to ensure the persons needs are met. The people who live at the home are involved in their care planning and this was reflected in their care plans. Some of the information like the health action plan is written in the first person for example I like, I dont like, and gives staff detailed instructions about the persons feelings, none verbal and verbal communication and their likely behaviour in a any given situation. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Detailed information is provided on what staff are to do if people become distressed both inside the home and outside and how to deal with this situation safely. People who live at the home have very structured lives and like to stick to routine, however, the staff at the home make strenuous efforts to engage people in activities that they would not normally undertake, this is done by gradually introducing them to different experiences and pastimes. Sometime this works other times it does not. Some of these new experiences are about the running of the home and involvement with domestic tasks. Care Homes for Adults (18-65 years) Page 14 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can lead a lifestyle of their own choosing they are encouraged and supported to experience activities which are appropriate to their age. People are provided with food which is wholesome and nutritious. Evidence: The ethos and philosophy of the home is about the people who live there and an enhancement of their quality of life. All activities and every day routines are based around their needs and interests. Both of the men who live at the home go out every day and this can range from visits to local attractions and facilities to going to the pub. They also have the opportunity to go on holiday at least once a year and socialise with friends and relatives on a regular, if not daily, basis. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: The people who live at the home are involved with choosing the meals provided and these are a mixture of healthy eating and what ever the person likes. Both of the men go shopping for their food and make regular visits to the local supermarket where they choose their food and plan menus. Care Homes for Adults (18-65 years) Page 16 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to lead a healthy lifestyle; people have access to health care professional on a regular basis. People are protected by the way the staff handle medication. Evidence: All the people who live at the home have a plan of care and extensive detailed documentation kept about them. This information is based on assessments undertaken with the person and significant others including health care professionals. The information includes details about peoples preferences and daily routines. For example one man can become obsessed with shoes; so there is information on his file about how staff are to deal with this when out shopping. Peoples files contain comprehensive and detailed information about their health needs and this is detailed in a health action plan, which has been formulated with the person and health care professionals. The health action plan details visit to the GP and other health care professionals and information on how to keep the person well and ensure their wellbeing. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: The plans detail peoples emotional needs and provides information on how they will react to a given situation and how the staff should support the person through this. One man has severe epilepsy and this is thoroughly documented in his care plan and his health action plan, detailed information is provided for staff to follow if he should have a seizure within the home or outside. Detailed records are kept about peoples medication and this is closely monitored by both the staff, manager and health care professionals. Each person has their own medication file and this includes the policy and procedure for the administration and handling of medication. The files contain detailed information about all the medication the person is taking and information about any contra indications or side effects to look out for. No one at the home administers their own medication but there is clear and detailed procedure if any one was to undertake this task for themselves. It is clear that this would only be supported if the person was found to able to administer their medication safely following risk assessments as to their own and other peoples safety. Care Homes for Adults (18-65 years) Page 18 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to a clear and comprehensive complaint procedure, information about how to complaint is provided in various formats according the persons needs. People are protected by the procedures on handling any allegations of abuse. Evidence: There is a robust and clear complaint procedure and people are told about their right to complain; information is provided in various formats according to peoples needs. We saw that care plans are clear about the things people like and do not like and how they will express their emotions including if they were dissatisfied about something. There are clear and robust adult protection policies and these are made available to the staff. The staff have attended training on how to protect someone from abuse and how to recognise and report any instances of abuse they may witness. There have been no concerns raised with the CQC about the home since its registration and the home is not the subject of any ongoing safeguarding adults investigations. Care Homes for Adults (18-65 years) Page 19 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe well maintained environment. Evidence: The home is on a large housing estate on the outskirts of Hull. There are plenty of amenities nearby like supermarkets, cinemas, bowling alley, restaurants, shops and pubs. The home is on a regular bus route. The ground floor comprises of kitchen/diner, lounge, dining room, utility room and downstairs toilet. The first floor comprises of 4 bedrooms and a bathroom. One of the bedrooms is used as an office; one is used as staff sleeping in accommodation. The other two are used by the people who live at the home. One has an en-suite bathroom and there is a bath room for the other person to use close to their bedroom. There is a garden to the front and the rear of the property. The home was clean and tidy and the people who live there are encouraged to be involved in the day to running of the home and the domestic tasks. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by the right amount of staff who are well trained to meet their needs. People are protected by the recruitment and selection procedures. Evidence: The people who live at the home are cared for by staff who are provided in enough numbers to meet their needs. The home has a robust recruitment procedure which keeps people safe. We looked at staff recruitment files and we saw that these contained evidence of references being taken from previous employers and evidence of enhanced Criminal Records Bureau (CRB) checks being undertaken before staff start working at the home. This means that people are not exposed to staff who may not be fit to care for vulnerable people. We saw that staff files contained information and copies of certificates of training undertaken. The training ranged from mandatory training like health and safety, basic food hygiene, fire, first aid and moving and handling to more specialised training based on the more complex needs of the people who live at the home. We saw that all staff are expected to undertake NVQ 2 or 3 in caring as soon as they start working at the home. This means that the staff are well trained and are well Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: equipped to care for the people who live at the home, meeting their needs effectively. We saw that staff receive regular supervision and during these sessions their training needs are discussed. This means that the staff training is always up to date and they can access training which relevant to the needs of the people who live at the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home which managed and run in their best interests. Effective management systems, policies and procedure keep people safe from harm and ensure their health and welfare. Evidence: The manager is registered with the CQC and has completed the registered managers award. She is available at the home and due to the size of the service is very much available to the people who live there. The underpinning ethos of the home is for it to be run to meet the needs of the people who live there so all of the policies and procedures are clear about this. This means that the people who live at the home are at the centre of the service and the home is run in their best interest. The AQAA told us that the staff felt they can approach the manager if they have any issues. This ensures the people are care for by staff who are fully supported and enabled to do their job. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The AQAA told us that all of the equipment used at the home and the installations like the gas and electric supply had been checked when they first moved in to the house. We saw certificates which confirmed this during the site visit. This means that people live and work in a safe environment. The AQAA told us that an annual quality check is undertaken every year and the results are recorded and goals set for the coming year to address any short falls. The quality audit comprises of sending surveys to the people who live at the home, their relatives and health care professionals. This means that the people who live at the home are consulted and involved in the running of the home and the manager is involving and valuing peoples opinions about the service provided. The AQAA told us that the manager is developing a better means of consulting with the people who live at the home and is making the surveys more user friendly. We saw that all of the staff have completed training in moving and handling, fire safety, health and safety, basic food hygiene and first aid. There was also a record of when this needed up dating. This means that the people who live at the home are in safe hands and the staff are trained and competent to do their job safely. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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