- Homecare service
Fosse Healthcare - St Mary's House
Assessment report published 14 September 2026
Contents
On this page
- Overview
- Kindness, compassion and dignity
- Treating people as individuals
- Independence, choice and control
- Responding to people’s immediate needs
- Workforce wellbeing and enablement
Caring
Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect. At our last assessment we rated this key question as good. At this assessment the rating has remained a good. This meant people were supported and treated with dignity and respect and involved as partners in their care.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Kindness, compassion and dignity
The provider always treated people with kindness, empathy and compassion and respected their privacy and dignity. Staff treated colleagues from other organisations with kindness and respect.
People consistently experienced care delivered with kindness, compassion and empathy. Staff always treated people with dignity and respect, ensuring their privacy was protected and their individual preferences were valued.
People and relatives said staff were compassionate and respectful. One person told us, “They are very efficient and take their time.” Another said, “I feel comfortable when they come and help me with personal care and they don’t rush me.”
Managers had robust oversight arrangements in place to maintain standards, including regular spot checks and observations of care delivery within people’s homes. These visits enabled managers to observe interactions directly and obtain real-time feedback from people and their relatives about their experiences.
Care records reflected the service’s person-centred and compassionate culture. Documentation reviewed was detailed, meaningful and focused on peoples lived experiences rather than solely recording tasks completed. Records consistently demonstrated how staff supported people’s emotional wellbeing, choices and independence.
Feedback from relatives, staff, managers and evidence reviewed consistently demonstrated a strong and embedded caring culture. People were treated with kindness, dignity and respect, and their individuality, preferences and wellbeing were placed at the centre of care delivery.
Treating people as individuals
The provider treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences. They took account of people’s strengths, abilities, aspirations, culture and unique backgrounds and protected characteristics.
Care records demonstrated staff provided individualised support according to people’s wishes maintaining detailed and contemporaneous notes following each visit. Entries clearly reflected people's preferences, choices and the support provided, evidencing a person-centred approach to care delivery.
Managers described how they carefully matched staff with people using the service wherever possible, considering individual preferences, personalities and care needs. New staff were introduced alongside trusted and familiar carers to enable people to build confidence and develop meaningful relationships before support was delivered independently. Relatives spokepositively about this approach and appreciated the time invested in ensuring relationships were established gradually, helping people feel comfortable, safe and well supported.
Independence, choice and control
The provider promoted people’s independence, so people knew their rights and had choice and control over their own care, treatment and wellbeing.
People’s preferences, routines and personal care needs were recorded within care plans, providing staff with clear guidance to deliver support reflecting each person’s wishes. We reviewed care plans alongside daily care records and feedback from people and relatives and found these were consistent. This demonstrated people’s choices, preferences and desired outcomes were understood by staff and respected in practice.
People and relatives spoke positively about the provider’s commitment to maintaining and promoting independence wherever possible. One person said, “My carer supports me with the things I cannot do but encourages me to do the things I can still. Things like applying cream, washing parts of my body and partially dressing myself.” This demonstrated how staff focused on preserving people’s skills, preferences and sense of identity through everyday support.
Responding to people’s immediate needs
The provider listened to and understood people’s needs, views and wishes. Staff responded to people’s needs in the moment and acted to minimise any discomfort, concern or distress.
Positive relationships and communication with people enabled their care arrangementsto be amended whenever needs, preferences or circumstances changed. Call bells were in situ and people reported these were responded to in a timely way. Emergency evacuation procedures were also risk assessed for individuals in conjunction with the housing provider who owned and managed the building.
This helped to ensure care remained person-centred, responsive and reflective of what was important to people.
Staff demonstrated a good understanding of people's individual needs and responded promptly and compassionately to minimise any discomfort, anxiety or distress. Care records contained detailed guidance about how people experienced their health conditions and the personalised approaches that were effective in supporting their wellbeing.
Workforce wellbeing and enablement
The provider cared about and promoted the wellbeing of their staff and supported and enabled staff to always deliver person-centred care.
Staff spoke positively about the management team and told us they felt valued, respected, and well supported in their roles. They described a culture where their wellbeing was routinely discussed during supervision sessions, and said they felt able to approach managers at any time between formal meetings to raise concerns or seek support. One staff member told us, “Managers are approachable and very accessible for support when you need it."
These comments demonstrated the registered manager had fostered a positive and supportive workplace culture, where staff wellbeing was prioritised, and individuals felt listened to, valued, and supported to remain in their roles. This helped promote staff retention, morale, and the delivery of consistent, high-quality care.