Foxburrow Grange

The home was clean and tidy. Inspectors saw cleaning schedules, infection control measures and staff using protective equipment.

“The premises was clean and tidy.” from the report

People had enough food and drink, a choice of meals and support at their own pace. Staff knew about specialist diets and choking risks.

“People were provided with a good choice of food, including a hot cooked breakfast, and up to 3 meal options daily” from the report

Relatives gave positive feedback about staff being patient, kind and respectful. Inspectors also observed caring and respectful interactions.

“The staff are absolutely marvellous with them; they are very patient and kind” from the report

There was a wide range of group activities and links with local organisations. These were enjoyed by many people, although individual support was not always sufficient.

“There was an abundance of group activities for people who were able to participate” from the report

Some prescribed medicines were missed, medicines were not always available, and records did not explain medicines given when needed. Twenty-two people were receiving covert medicines without clear management plans.

“One person had missed 74 doses of their prescribed medicine over a 4-week period.” from the report

Staff used sedating medicines to manage distressed behaviour and did not always record why they were used or whether other approaches had been tried. Staff also did not recognise some physical restriction during personal care as restraint.

“Management and staff did not recognise subduing a person's movements during personal care was restraint.” from the report

Assessments did not fully cover risks from bed rails, medical conditions, falls, fire evacuation or damaged wall brackets with exposed sharp metal.

“This posed a risk of serious harm to the occupant of the bed.” from the report

Care plans were vague and did not always explain the support people needed to remain independent or well. End-of-life care preferences were not always recorded or available to staff.

“People's care and support was not always planned in a personalised way to ensure they received the right level of care” from the report

Audits gave an inaccurate picture of quality and safety. The home did not analyse falls, incidents and complaints well enough to identify causes or prevent repeat problems.

“The management team failed to recognise and identify significant failings impacting on the quality and safety of service provision.” from the report

Staff had not received all the training needed for learning disability, specific health needs, distress and resistance to essential care. Supervision and appraisal were not routine enough.

“Staff had not received relevant training to support people experiencing episodes of heightened anxiety and distress” from the report