The Care Quality Commission
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Integral Focus Support and Care Services

Overall: Good read more about inspection ratings

61 Alfreds Gardens, Barking, IG11 7XW (020) 3150 0065

Provided and run by:
Integral Focus Ltd

All Inspections

During an assessment under our new approach

Date of assessment: 11 August 2026 to 13 August 2026. At our last assessment in 2022, the service was rated Requires Improvement and found to be in breach of legal regulation in relation to good governance, and fit and proper persons employed. Improvements were found in this assessment, and the provider was no longer in breach of this regulation. At this assessment, the service has been rated Good.

Integral Focus Support and Care Services provides care to people living in their own home. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social provided. At the time of the assessment 7 people were receiving personal care.

We assessed the service against ‘right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The service was meeting the principles of right support, right care, right culture.

People's needs were assessed before they began using the service so the provider knew they could meet their needs. Staff received an induction and training before starting work, so they knew what to do when they started working with people.

People were supported by staff who had received the appropriate recruitment checks, training, and support to carry out their roles effectively. Staff treated people with dignity and respect and encouraged them to maintain their independence wherever possible.

Staff were happy working at the service and said they were supported. They received on-going training and development opportunities through spot checks, supervisions and team meetings. They understood how to recognise potential signs of abuse and the need to obtain consent from people prior to providing care.

Systems to monitor the quality and safety of the service were in place. Staff reported having a positive relationship with the provider and felt communication was effective.

18 May 2022

During a routine inspection

Integral Focus Support and Care Services is a domiciliary care agency registered to provide personal care. At the time of the inspection, two people were receiving support with personal care. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

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 .