Integral Focus Support and Care Services

People's experience of using this service and what we found

Staff were not always checked properly to ensure they were safe to work with people. The auditing systems and the provider's recruitment processes were not satisfactory, and the provider did not identify these shortfalls through their auditing systems.

The service had systems in place to ensure people were protected from abuse. Staff did not administer medicine, but they had training to support people with the management of medicines if it was needed. Risks to people were assessed and monitored. There were measures in place for infection prevention and control. Lessons were learned when things went wrong to minimise the risk of reoccurrence.

Initial assessment of needs were completed before people started using the service, and this allowed people and staff to determine if the service was suitable for them. People and relatives felt that staff were caring, kind and trained to achieve good outcomes for them. Staff told us they were supported in their roles and the management team was approachable. Where needed, staff supported people with their meals and with accessing healthcare services. Staff understood equality and diversity and ensured people's privacy and dignity was respected.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People's consent was sought when care was provided.

People and relatives knew how to make a complaint. The service sought feedback from people, relatives and staff. Staff were developing survey questionnaires as part of their ongoing quality assurance systems. Care plans were person-centred and enabled people to receive care and support that met their needs.

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

Rating at last inspection

This service was registered with us on 16 June 2020 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to poor staff recruitment practices and unsatisfactory auditing systems. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect .