Background to this inspection
Updated
23 April 2022
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service provides care and support to people living in a supported living setting, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.
This service is also a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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
We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We sought feedback from the local authority who work with the service. We reviewed the information we already held about the service. This included their registration report and notifications. A notification is information about important events, which the provider is required to tell us about by law. We used all of this information to plan our inspection.
During the inspection
We reviewed care records and staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, including policies and procedures were reviewed. We spoke with one person, one staff and the registered manager.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and risk assessments. We spoke with one staff to ask them questions about their roles and to confirm information we had received about them during our inspection.
Updated
23 April 2022
About the service
Frontisti Services Limited provides care and support to people living in a 'supported living' setting, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements, the accommodation was provided by a separate landlord. At the time of this inspection there was one person whom received support with personal care. CQC does not regulate premises used for supported living.
The service also provides domiciliary care to people in their own homes. 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
People were positive with the care provided by Frontisti Services Limited. People were involved in making decisions about their care.
There were systems in place to safeguard people from abuse. Risks to people were assessed and monitored. Recruitment processes were robust and there were enough staff working at the service to support people safely. Medicines were managed safely. Staff were provided with personal protective equipment (PPE) to protect people from the risk of cross infection.
Incidents or accidents systems were in place to ensure lessons were learned when things went wrong.
People's needs were assessed before they began using the service so the provider knew they could meet their needs. Staff received inductions before starting work, so they knew what to do when they started working with people.
Care plans were person centred and staff knew what people liked. People's communication needs were met. People were supported with their health care needs and staff communicated with each other to ensure people received effective 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.
People and staff were positive with how the service was managed. The provider and service were new and still adapting on how they worked. Management were open to change and improvement and wanted what was best for people. The registered manager knew about their duty of care and regulatory requirements. People were able to engage with the service and provide feedback about the care. Staff could provide input into the service through meetings and supervision.
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 27 October 2021 and this is the first inspection.
Why we inspected
This service had not previously been inspected and we wanted to check that people were receiving safe care and support.
Follow up
We will continue to monitor information we receive about the service using our monitoring system and will inspect when this is indicated.