Archived: Fosse Healthcare - Derby

Updated 22 July 2017

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

This inspection took place on 22 March 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in the office.

The inspection team consisted of one inspector.

We reviewed the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We looked at information received from local authority commissioners. Commissioners are people who work to find appropriate care and support services for people and fund the care provided.

We reviewed the provider’s statement of purpose. A statement of purpose is a document which includes a standard required set of information about a service. We reviewed the notifications we had been sent. Notifications are changes, events or incidents that providers must tell us about.

We spoke with two people and four of their relatives. We also spoke with a company director, regional manager, area manager, the acting manager and two support workers.

We looked at records relating to all aspects of the service including care, staffing, and quality assurance. We also looked at four people’s care records.

Updated 22 July 2017

This was an announced inspection that took place on 22 March 2017.

Fosse Healthcare - Derby provides personal care and treatment for adults living in their own homes. At the time of our inspection the service supported 50 people who lived within the city of Derby.

This was our first inspection of the service since they registered with us on 21 April 2016.

There is no registered manager in post. The manager is currently awaiting a disclosure and barring check, (DBS) check which will allow an application to register with CQC. At the point of publication this application had not been received.

The service does not have registered manager. The current manager is awaiting documentation before she can forward an application to be registered. This is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We received mixed comments about the quality and consistency of service people received. Some people told us they were pleased with the service and the manager and staff listened to them, wanted to hear their views, and kept them informed about the service. Others however told us about missed calls, changes of staff at short and sometimes no notice and changes of call times that impacted on the person receiving the service.

Medicines were now well managed following intervention by the new manager. There had been a number of occasions where people had not been given their medicine, or medicine was given but this had not been recorded on the appropriate charts.

Staff ensured most people had enough to eat and drink, with a small number that told us about early meals and lack of fluids between visits. Most staff took a flexible approach to the people they supported regularly by assisting them with additional household tasks. However there were a number of incidents reported to the staff at the office where people were unhappy with staff where they had left tasks incomplete. People and their relatives were aware how to make complaints about the quality of service they received. The service had received complaints and most had been addressed? Information about the complaint procedure was included in the information they received when the service began along with office and out of hours contact telephone numbers.

People and their relatives said the manager and staff were approachable and they were kept up-to-date with their family member’s progress and any changes or developments at the service.

The service provided safe care. Staff were trained in safeguarding (protecting people from abuse) and knew how to keep people safe. Information about safeguarding and whistleblowing was included in the staff handbook.

Staff provided people with the care and support they wanted and encouraged them and their relatives to be an active part of the care planning process. Staff had been trained to assist people to take their medicines safely and in the way they wanted them. People were treated with dignity and respect.

The area manager and manager carried out audits of all aspects of the service to drive improvement and to provide a well-led service. People’s and their relative’s views, were encouraged to add value to this process.