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CQC report explained · a residential care home, run by Welltower

Foley Grange

Silverwoods Way, Kidderminster, DY11 7DT

Goodpublished 11 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People felt safe, risks were assessed and staff knew how to respond to abuse. Inspectors found enough staff, safe medicines practice, robust recruitment and good infection control.
Effective?
Good
People's needs were assessed and staff had suitable training and support. People received varied food, help with health appointments and care that followed professional advice.
Caring?
Good
Staff treated people with kindness, dignity and respect. People and relatives were involved in decisions, and staff supported independence.
Responsive?
Good
Care plans recorded people's choices and preferences. People were supported with communication, activities, relationships, complaints and end of life care.
Well-led?
Good
Inspectors found an open culture, clear management arrangements and systems to check quality. People, relatives, staff and external professionals were involved in the service.
The latest report, explained

What inspectors found, November 2023

Rated Good; inspectors found safe, kind and personalised care, but noted the need to monitor changing care needs and DoLS authorisations.

This was an unannounced first inspection on 3 October 2023. Inspectors spoke with people living in the home, relatives, staff and health and social care professionals. They reviewed care records, recruitment records, training information, staff rotas and management documents.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, clean surroundings, suitable training and good links with health professionals.

People said staff were kind, respectful and responsive. Inspectors found that care was personalised, people were supported to take part in activities and their end of life wishes were considered.

The inspection was prompted partly by concerns about support for people with dementia and mental health needs. Inspectors found no evidence that people were at risk of harm from this concern. However, the home mainly supports people with lower care needs and must consider whether it can continue to support people safely if their needs increase.

What inspectors praised

  • Enough staff

    People, relatives and staff said there were enough staff, and inspectors saw people receiving support promptly.

    “The provider took exceptional actions to ensure there were sufficient numbers of suitable staff.” from the report

  • Kind and respectful care

    People said staff were kind and respectful. Inspectors saw staff who knew people well and supported their dignity and independence.

    “People were treated well and were shown respect by the staff who supported them.” from the report

  • Personalised activities

    The home supported people to continue personal interests and take part in activities inside and outside the home.

    “People were supported to maintain relationships and take part in social activities which were important to them.” from the report
What inspectors were concerned about

  • Changing care needs

    needs fixing

    The home mainly supports people with lower care needs. If someone's dementia or mental health needs increase, the home must decide whether it can still support them safely or whether another placement is needed.

    “Where some people's dementia care needs or mental health needs have increased, due consideration is given as to whether staff can continue to safely support people within the home environment or if alternative placement is needed.” from the report

  • DoLS authorisations

    needs fixing

    Inspectors found that some people who could not consent to their care may have been deprived of their liberty before the required authorisation was in place. Referrals had been made and the manager was monitoring progress.

    “This meant some people who were unable to consent to their care may be being deprived of their liberty without authorisation from the local authority.” from the report
Questions to ask them, based on this report
  1. 01How do you decide whether the home can continue to support someone if their dementia or mental health needs increase?
  2. 02How do you monitor DoLS applications, and how do you make sure any restriction on a person's liberty is properly authorised?
  3. 03What staffing levels would be available if several residents' care needs became more complex?
  4. 04How would you involve the person and their family in reviewing care needs or considering an alternative placement?
  5. 05How do you check that actions identified through audits have been completed?

This was an unannounced first inspection covering all five CQC key questions; the service had been registered since 25 November 2021. This explanation was written from the published report of 11 November 2023 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.

The story over the years

Every inspection of Foley Grange

Each visit the CQC has published, newest first, back to the day the service was registered.

  1. November 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Foley Grange →

  2. November 2021

    Registered with the Care Quality Commission on 25 November 2021.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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