Care Home: Foxton Court

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What the care home does well Good information is available for people considering coming to live at Foxton Court. A comprehensive pre-admission assessment is carried out before a person is admitted to the home. This means that people are sure that their needs can be met at Foxton Court. Peoples` care and health needs are well documented so that staff are clear about the support they need. Care is person centred and people are encouraged to make decisions about their care and support. There are good systems in place for dealing with medicines to protect people living in the home. Peoples` individuality and diversity is respected and met by the good service offered at Foxton Court. Good support is provided to people to ensure that they are able to maintain links with their family, friends and local community . Social activities and outings are very well organised and planned to suit the needs of the people using the service. The people using the service enjoy the varied programme of events. The food is well cooked and presented with good options available at each mealtime. Staff are aware of the need to make sure that people get the support they need at mealtimes. People living in the home and their relatives are aware of the complaints procedures and are satisfied that they are able to put forward their views about the service and that these will be taken seriously by the manager and her staff. People are protected by the home`s systems for dealing with complaints and safeguarding matters. People live in a very comfortable, well appointed home that is accessible and fitted with appropriate aids and equipment. Staffing levels are sufficient to meet the individual needs of the people living in the home. Good recruitment practices and procedures are in place to protect people using the service. Staff training is well organised and delivered to staff to ensure that they have the skills to meet peoples` individual needs. Good management systems are in place to make sure that the quality of the service is regularly reviewed and changes are made to improve the service. Good health and safety systems protect people living and working in the home. What has improved since the last inspection? This is the first inspection of this service. What the care home could do better: There are no requirements or recommendations following this inspection. Key inspection report Care homes for older people Name: Address: Foxton Court Loansdean Morpeth Northd NE61 2BT     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: Anne UrwinBrown     Date: 1 5 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 Older People Page 2 of 26 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 Older People 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 Older People Page 3 of 26 Information about the care home Name of care home: Address: Foxton Court Loansdean Morpeth Northd NE61 2BT 0 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Helen McArdle Care Ltd Name of registered manager (if applicable) Mrs Angela Carrol Bews Type of registration: Number of places registered: care home 46 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 46 The registered person may provide the following category of service only: Care Home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 46 Dementia Code DE, maximum number of places 46 Date of last inspection Brief description of the care home Foxton Court is a purpose built home providing residential care for up to forty six people some of whom may have dementia. The home is located adjacent to Morpeth Cottage hospital and is about a mile from the centre of Morpeth with good bus and train transport links available. There is good private parking to the side of the building. Care Homes for Older People Page 4 of 26 Over 65 46 46 46 0 Brief description of the care home There are gardens to the front of the building, with private gardens at the side and the rear, which are accessible to people living in the home. All rooms have en-suite accommodation and good public spaces are available for peoples use. A copy of the Statement of Purpose and Service User guide is available in the main hallway. Copies of any inspection reports will be made available. The fees range from £436 to £540 per week. Care Homes for Older People Page 5 of 26 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. As this is the first inspection of this service it is not possible for an excellent quality rating to be awarded as the home has not been operating consistently for at least one year. This inspection identified that some areas of the delivery of the service were excellent taking into account the evidence that was available at this time. However, the rating will remain at 2 stars. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Care Homes for Older People Page 6 of 26 Before the visit we looked at: Information we have received since the home opened. How the service dealt with any complaints and concerns since the home opened. The providers view of how well they care for people. The Visit: An unannounced visit was made on 15 April, 2009. The visit lasted a total of seven hours. During the visit we: Talked with people who use the service, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. We told the manager what we found. Care Homes for Older People Page 7 of 26 What the care home does well: Good information is available for people considering coming to live at Foxton Court. A comprehensive pre-admission assessment is carried out before a person is admitted to the home. This means that people are sure that their needs can be met at Foxton Court. Peoples care and health needs are well documented so that staff are clear about the support they need. Care is person centred and people are encouraged to make decisions about their care and support. There are good systems in place for dealing with medicines to protect people living in the home. Peoples individuality and diversity is respected and met by the good service offered at Foxton Court. Good support is provided to people to ensure that they are able to maintain links with their family, friends and local community . Social activities and outings are very well organised and planned to suit the needs of the people using the service. The people using the service enjoy the varied programme of events. The food is well cooked and presented with good options available at each mealtime. Staff are aware of the need to make sure that people get the support they need at mealtimes. People living in the home and their relatives are aware of the complaints procedures and are satisfied that they are able to put forward their views about the service and that these will be taken seriously by the manager and her staff. People are protected by the homes systems for dealing with complaints and safeguarding matters. People live in a very comfortable, well appointed home that is accessible and fitted with appropriate aids and equipment. Staffing levels are sufficient to meet the individual needs of the people living in the home. Good recruitment practices and procedures are in place to protect people using the service. Staff training is well organised and delivered to staff to ensure that they have the skills to meet peoples individual needs. Good management systems are in place to make sure that the quality of the service is regularly reviewed and changes are made to improve the service. Good health and safety systems protect people living and working in the home. Care Homes for Older People Page 8 of 26 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. 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 Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good assessments are carried out before people are admitted to ensure that their needs can be effectively met at Foxton Court. Evidence: There is a comprehensive Statement of Purpose and Service User guide available to provide information about what it is like to live at Foxton Court. From talking to people living in the home and their relatives it is clear that the home has good systems in place for planning admissions. People are treated as individuals and have enough information to make an informed choice about living at Foxton Court. The admission process is person centred and allows people to visit and make sure that the care offered will suit them. Four people said that they felt very satisfied with the admission process and had felt they were well supported by the manager and her staff team. As the home has only been open for a short time the Statement of Purpose reflects the service provided, however the manager intends to review it with the staff team so that they can be involved in the process. Care Homes for Older People Page 11 of 26 Evidence: Before each person moves into the home a pre-admission assessment is completed by senior staff to ensure that his or her needs can be met at the home. Information from the assessment and from relatives and or from the care manager is also used to prepare an individual plan outlining each persons care needs. The manager and her team understands the importance of having good information about peoples needs before agreeing a placement. Two people said that staff knew what they needed help with when they first came to live at the home and they were very supportive. Care Homes for Older People Page 12 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. There are good systems in place for ensuring that each person has an individual plan that provides clear information about their needs and how these are met. Evidence: There is a personal plan in place for each person that clearly outlines their care needs and how these are met to suit their individual needs. These plans are well recorded and provide excellent information. Personal support is person centred reflecting peoples individual needs and preferences. There was clear information in plans and in daily records about how peoples personal care, physical and social and emotional needs are met by staff. Assessment tools are well used to identify changes in peoples needs and care plans are updated to reflect any changes. Other healthcare information is well recorded and evidence was available that good systems are in place to ensure that individual needs are well met. Evidence was available that privacy and dignity is respected and that staff are sensitive to personal preferences. Equality and diversity training has been provided as part of the induction training. During the inspection three people said how good the Care Homes for Older People Page 13 of 26 Evidence: care and support is that they receive. They said that staff were kind and always available when they needed them. One person said I like living here and the staff are always kind and nice. Two relatives spoke very positively about the care provided and said that the service was very good and that staff had kept them informed of any issues relating to their relatives care. There was a good atmosphere and staff responded well to individual requests and to signs that people needed extra help during the inspection. There is in place an effective medicines policy that supports good procedures and practice. Staff training has been provided for all staff responsible for administering medicines. Medicines records are well completed and contain required entries. There are regular checks of medicine practice and the treatment room by the manager and records were available to show this. Arrangements for the storage of medicines are satisfactory. Care Homes for Older People Page 14 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to make choices about their routine and lifestyle. Social, emotional, cultural and recreational needs are met in a way that suits individuals. Evidence: Peoples routines are organised to suit their individual needs and two people said that staff are supportive of their choices and preferences. Records also confirmed this. Good information about social care needs are recorded in care plans to show peoples interests. A new activity organiser has been appointed and he has started getting to know the people living in the home. Activities were going on during the inspection that people were thoroughly enjoying and taking an active part in. People said that they were satisfied that there were plenty of interesting things to do and that there was a choice about how and where they spend their time. The residents said the food was very good and alternatives were available at each meal time. They said that they could get something else to eat if they did not like what was on the menu, but had never had to ask for that. The food was well presented during the inspection and staff were sensitive in assisting people with their food. The menus provide a good variety of food and takes account of healthy eating Care Homes for Older People Page 15 of 26 Evidence: principles. The kitchen is well organised and stocks of food and storage arrangements are satisfactory. Kitchen staff have undertaken appropriate Food Handling training. Drinks are provided regularly through the day and there is a varied selection offered. There was tea, coffee, or cold drinks of either juice or milk. There were biscuits provided. Fruit was also available. Individual bedrooms are personalised according to the taste of the resident. People said they were happy with their rooms and that they had a lot their own personal items around them. People have visitors at any time and are able to use their own rooms, or the lounges to see them. Care Homes for Older People Page 16 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 protected by the good systems in place at Foxton Court for dealing with complaints and safeguarding. Evidence: Good policies and procedures are in place for dealing with complaints. Systems are in place for recording complaints, the investigation and outcome. No complaints have been made since the home opened. People said that they felt able to speak to staff if they had any concerns and were satisfied that their concerns would be taken seriously. Staff know how to help people to make a complaint. All staff have completed safeguarding training. Policies and procedures are in place for dealing with any allegations and the manager has a copy of the local authoritys procedures. The manager and her staff are aware of the action to be taken in the event of an allegation being made. No safeguarding referrals have been made at Foxton since the home opened. Good systems for the recruitment of staff are in place to protect people living in the home. A whistle blowing policy is available for staff to use if they see any poor practice. Care Homes for Older People Page 17 of 26 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, 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. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Foxton Court provides a comfortable, well maintained and decorated accommodation that suits the needs of the people living there. Evidence: The home is well planned, comfortably furnished and attractively decorated to suit the needs of the people living there. People have good sitting and dining areas that are well designed, spacious and well furnished. Sitting rooms have televisions and music centres. People living in the home said that they find the home very comfortable. One person said It is lovely living here, I have a really nice room with my own toilet and I am very happy with all the facilities. There are good systems in place for ensuring any repairs or maintenance are acted upon and remedied quickly. Records are kept to show this. The gardens have been planted recently and are well maintained and provide pleasant outdoor seating areas for people when the weather is good. They are accessible from the sitting areas. Bathrooms and toilets are well appointed with appropriate aids and equipment to keep people as independent as possible. All bedrooms have en-suite accommodation. Bedrooms are well furnished and spacious. The bedrooms seen were personalised with pictures and other items from peoples previous homes. Care Homes for Older People Page 18 of 26 Evidence: The laundry was very well organised and equipped. It was very clean. Good infection control procedures are in place and staff have had appropriate training. Care Homes for Older People Page 19 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. There are sufficient appropriately skilled and trained staff to meet the needs of the people living in the home. Evidence: There were twenty one people living in the home permanently and one person having respite care. Staffing rotas showed that sufficient staff are on duty to meet the needs of the people living in the home. Sufficient ancillary staff support is provided. People using the staff and their relatives were very positive about the staff and the support they receive. One person said that Nothing is too much trouble for the manager or her staff. I have found everyone very kind and helpful since I came to live here. One relative said that the support provided by staff was excellent and that she is kept up to date about her mothers care. She said They telephone if anything happens because they know I am sometimes anxious. I am happy that my mother is in good hands. Good recruitment policies and procedures are in place. Staff records showed that these are followed with appropriate references and other checks are evidenced. Training has been provided to staff as they started work at Foxton Court. Records show that appropriate training has been provided to ensure that they have the skills Care Homes for Older People Page 20 of 26 Evidence: they need. Staff said that there are plenty of training opportunities. Eight staff have completed national qualifications in care. The manager is currently working on identifying a training plan for the next year. All staff have completed training in safe working practices. There are regular staff meetings and staff said that they feel able to contribute their views at these. They said that they feel well supported by the manager and the senior staff team. Care Homes for Older People Page 21 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 benefit from living in a well managed home and are encouraged to put forward their views. Evidence: The manager has the required skills and experience and has worked with Helen McArdle Care for a number of years. She has a good knowledge of the organisations strategic and financial planning systems to ensure a good service is delivered to the people who use the service. She is able to describe her vision of the home and communicates a clear sense of direction. This includes continuous improvement, customer satisfaction and quality assurance. She is aware of the importance of equality and diversity, human rights and person centred planning in delivering a high quality service to the people living at Foxton Court. The manager operates an open door policy welcoming comments from people living in the home, relatives and staff. A programme of staff supervision is in place and staff confirmed that they have regular supervision and feel well supported. Staff meetings are arranged regularly and Care Homes for Older People Page 22 of 26 Evidence: staff feel able to raise issues. Good systems are in place for assessing the quality of the service that take account of the views of the people living in the home. Audits are used regularly to assess the effectiveness of systems and these are completed by the manager and by external management of the home. The people using the service and their relatives are satisfied that their views are listened to and acted upon by the manager and her staff team. There are regular resident and relatives meetings. Good records and audits are kept of personal allowances and any money held. Good health and safety systems are in place and staff have received training. Individual training records reflect this. Good systems are in place for recording accidents. Care Homes for Older People Page 23 of 26 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 Older People Page 24 of 26 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 Older People Page 25 of 26 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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