Archived: Foremost Healthcare (Leicester) Limited

Updated 25 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was completed by one inspector.

Service and service type:

Foremost Healthcare (Leicester) Limited is a domiciliary care agency. It provides personal care to people living in their own homes. At the time everyone using the service received the regulated activity 'personal care'. The Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was announced. We gave the provider 48 hours’ notice because we needed to be sure the registered manager was available. On 16 May 2019 we visited the onsite office location to meet with the registered manager and review records. On 17 May 2019 we called people using the service and staff.

What we did:

We reviewed information we had received about the service, including information within the Provider Information Return (PIR). This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We looked at other information received from the provider, such as statutory notifications about incidents and events the provider must notify us about. We also sought feedback from other professionals who work with the service. We took this information into account when we inspected the service and made the judgements in this report.

As part of our inspection we spoke with the two people using the service. We also had discussions with the registered manager, the provider and two care and support staff. We checked the care records for the two people using the service and examined other records relating to the management of the service. These included two recruitment files, staff training and supervision records, policies and procedures and quality monitoring information.

Updated 25 May 2019

About the service:

Foremost Healthcare (Leicester) Limited is a domiciliary care agency. The service provides personal care to people living in their own homes in the community. At the time of our inspection two people were using the service.

People’s experience of using this service:

People received safe care and were protected against avoidable harm, neglect and discrimination. Risks to people’s safety were assessed and strategies were put in place to reduce the risks. Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.

Where the provider took on the responsibility, people's medicines were safely managed. Systems were in place to control and prevent the spread of infection.

People’s needs and choices were assessed before they started to use the service. Staff received an induction and ongoing training that enabled them to have the skills and knowledge to provide effective care.

People were supported to maintain good nutrition and hydration. Staff supported people to live healthier lives and access healthcare services when required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff treated people with kindness, compassion and respect. People were supported to express their views and be involved in making decisions about their care.

People and their relatives were involved in the planning and review of their care. The provider had a complaints procedure which was accessible to people using the service.

The service had good governance systems in place to ensure all aspects of the service delivery were continuously assessed and monitored. The service worked in partnership with outside agencies.

Rating at last inspection:

Since the last inspection, the service moved their main office and registered a new location with CQC. This means this is a first comprehensive inspection and the service has no previous rating. At this inspection we found the service met the characteristics of a “Good” rating in all areas. More information is available in the full report.

Why we inspected:

This was a planned inspection.

Follow up:

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk