Foxleigh Grove Nursing Home

Social Care Org · South East

Overall Rating
Requires Improvement Last inspected 14 January 2020
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Good
Well-led
Requires Improvement

View Full CQC Report

2 must-do actions
4 should-do actions

Must-Do Actions (2)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The provider must ensure that persons providing care or treatment to service users have their competence, skills and experience to do so safely reviewed and ensure the proper and safe management of medicines.
Regulation 12 (Safe care and treatment)
The registered person failed to ensure that persons providing care or treatment to service users have their competence, skills and experience to do so safely reviewed. The registered person failed to ensure the proper and safe management of medicines.
Must Do
Well-led
The provider must establish an effective system to enable them to ensure compliance with regulations 8 to 20A of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Regulation 17 (Good governance)
The registered person had not established an effective system to enable them to ensure compliance with regulations 8 to 20A of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Should-Do Actions (4)

Recommended improvements to enhance service quality.

Should Do
Safe
The provider seeks guidance from a reputable source on ensuring recruitment systems are robust and make sure that the right staff are recruited to support people to stay safe, in line with the fundamental standards.
Should Do
Effective
The registered person seeks guidance from a reputable source to ensure they have an appropriate falls pathway in place for staff to follow when a person falls.
Should Do
Effective
The provider takes action in line best practice when admitting new service users to the home, making sure there is a robust system to ensure assessments of people's needs are comprehensive and expected outcomes are identified.
Should Do
Effective
The provider seeks guidance from a reputable source and considers best practice to ensure they are meeting peoples ongoing needs in relation to cognitive impairments, including dementia friendly environments.
Location Details
CQC ID: 1-111440056
Local Authority: Windsor and Maidenhead
Region: South East
Inspection Report
Type: Comprehensive inspection
Date: 14 January 2020
Rating: Requires Improvement
Actions: 2 must-do , 4 should-do
AI-extracted 17 Feb 2026