Fosse Healthcare - Leicester

Updated 9 January 2024

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people to speak with us.

Inspection activity started on 20 November 2023 and ended on 23 November 2023. We visited the location’s office on 20, 21 and 23 November 2023. We undertook visits to people’s homes on 22 November 2023.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who use the service to understand people’s experiences of the care provided. We spoke with 14 relatives to understand their experiences. We spoke with 11 members of staff including the nominated individual, registered manager, deputy manager, the head of operations for homecare, senior carers and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 9 January 2024

About the service

Fosse Healthcare Leicester is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection there were 56 people using the service.

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. 43 people were receiving a regulated activity at the time of inspection.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support:

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. Staff knew people well and worked closely with management and health and social care professionals to monitor people’s health and wellbeing. We found however some people did not always have health specific risk assessments and care plans in place. There was not any impact to people, but people’s needs, and associated risks should be documented. We have made a recommendation about the review and management of risk assessments and care plans. People told us they were being supported to live safely at home. Staff were aware of adult safeguarding and identified and raised concerns with management. People were supported with medicines by trained staff.

Staff received training appropriate to their roles and told us they had the right skills and experience to carry out their roles. Staff received regular supervision and appraisal opportunities. People were supported to access health and social care support and were supported to lead healthy lives. People’s mental capacity was assessed as required, and staff understood consent.

Right Care:

People were supported by caring and compassionate staff. People’s dignity and privacy was maintained, and staff encouraged people to be as independent as possible.

People’s communication needs were assessed, and staff adapted their practice to encourage communication and empower people to make decisions. Complaints were listened to and investigated thoroughly and promptly by the registered manager. Staff were trained and able to support people with sensitivity and compassion at the end stages of their life.

Right Culture:

The registered manager had oversight of the service. There has been changes to management and staffing, but improvements had been made and the culture was steadily positively changing. Systems and processes were in place which identified areas of concern or improvement to ensure people received safe care and treatment.

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 9 November 2021 and this is the first inspection.

The last rating for the service under the previous premises was Good, published on 4 September 2018.

Why we inspected

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fosse Healthcare Leicester on our website at www.cqc.org.uk.

Recommendations

We identified care plans and risk assessments were not always fully reflective of some people’s needs. We have made recommendations to the provider in the safe and effective domains.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.