Archived: Foremost Healthcare (Leics) Limited

Foremost Healthcare (Leics) Limited is a domiciliary care agency that provides personal care to people in their own homes. On the day of our inspection the service was supporting 3 people.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

People told us that they felt safe. Staff were aware of their responsibility to keep people safe. Risks were assessed and managed to protect people from harm and staff understood what to do in emergency situations. Safe recruitment practices were being followed.

People received their medicines as required. Medicines were administered safely by staff who were appropriately trained and competent to do so.

Staff had received training and supervision to meet the needs of the people who used the service. Staff told us that they felt supported.

People made decisions about their care and the support they received. People were involved in reviewing their careand their opinions sought and respected. The registered manager understood their responsibility to ensure people were supported in line with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People’s nutrition and hydration needs were assessed and met. People’s health needs were met and when necessary, outside health professionals were contacted for support. People’s health records were being maintained.

People’s independence was promoted and people were encouraged to make choices. Staff treated people with kindness and compassion. Dignity and respect for people was promoted.

The care needs of people had been assessed. Staff had a clear understanding of their role and how to support people who used the service. People contributed to the planning and reviewing of their care.

People and most staff felt that the registered manager was approachable and action would be taken to address any concerns they may have. People and staff were kept informed of changes to the service and their feedback was sought.

There were a range of audit systems in place to measure the quality and care delivered so that improvements could be made.

People told us that they had been involved in discussing and agreeing the care and support plans that were in place. They told us that the service had listened to their views. One relative told us, "They listen. I'm really pleased about that if I had any concerns I know I could raise them and they'd do something about it." Another relative told us, "I'm very pleased. I'm always kept informed. The carers are very caring. I'm very satisfied with the quality of care they provide. They listen."

We saw from a recent survey the provider had carried out that people felt they had been treated with respect and were pleased with all aspects of the service.

We found that the provider had involved people in in decisions about their care and had kept relatives informed about how people responded to care or changes in their health. Care had been planned and delivered in way that met people's individual needs. The provider had effective procedures to safeguard people. The provider's recruitment practice ensured as far as possible that only people suited to work with vulnerable people were employed by the service. The provider had effective procedures for monitoring the quality of care provided.