Background to this inspection
Updated
25 October 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We inspected the service on 29 September 2016. The inspection was announced. The provider was given 48 hours’ notice because the location provides domiciliary care for people requiring personal care; we needed to be sure that someone would be in. The inspection team consisted of one inspector.
Before the inspection the provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give key information about the service, to detail what the service does well and improvements they plan to make. Prior to the inspection we reviewed notifications that we had received from the provider. A notification is information about important events which the provider is required to send us by law. We contacted Healthwatch Leicestershire who are the local consumer champion for people using adult social care services to see if they had concerns about the service.
We telephoned two people as part of the inspection to ask them about the support that they received. We spoke with four support workers and the registered manager.
We looked at the care records of two people who used the service, people’s medication records, staff training records, three staff recruitment files and other documentation about how the service was managed. This included policies and procedures, staff rotas and records associated with quality assurance processes.
Updated
25 October 2016
We inspected the service on 29 September 2016. The inspection was announced. The provider was given 48 hours’ notice because the location provides domiciliary care; we needed to be sure that someone would be in.
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.