Background to this inspection
Updated
21 October 2021
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 team consisted of one inspector.
Service and service type
This service is 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
This inspection was announced.
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 prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since they registered with us. We used all of this information to plan our inspection.
During the inspection
We spoke with the administrator/care coordinator and registered manager. We reviewed a range of records. This included three people’s care records. We looked at staff files in relation to training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with one person who used the service and three relatives about their experience of the care provided. We also spoke with two carers.
Updated
21 October 2021
About the service
Foxbridge Healthcare Solutions Limited is a domiciliary care agency providing personal care to people in the community. At the time of the inspection, one person was using the service. Prior to this, the service had provided specialist care to four people on end of life care.
People’s experience of using this service and what we found
People’s care was delivered in a manner that protected them from the risk of abuse. Risk assessments were carried out on people’s health. Staff followed the guidance in place to manage the risks identified. Staff received training on safeguarding and knew how to identify and report abuse. Staff were aware of their responsibility to keep people safe. People received the support they required to take their medicines safely. Enough staff were deployed to deliver care. People were supported by staff who underwent appropriate recruitment processes. People’s care delivery complied with infection prevention and control methods and protected them from the risk of infection.
People received effective care because staff were supported to undertake their roles. Staff attended training and refresher courses and had supervision which enabled them to provide appropriate care. People were supported to maintain good health and wellbeing.
People and their relatives were happy with the care provided by the service. People were treated with compassion and respect. Staff sought and obtained people's consent before providing care to them. People got on well with staff and had developed meaningful relations with them. Staff respected people’s privacy and upheld their dignity and human rights when providing care. Staff supported people to maintain their independence and to make choices about their lives.
People’s care needs were reviewed and changes were made to their support plans as appropriate. People and their relatives were confident about how to raise concerns and felt the provider considered their views.
People, their relatives and staff made positive comments about the management and leadership of the service. The registered manager was said to be approachable, honest and open to ideas to develop the service. The provider reviewed and audited the quality of care and made improvements when needed. The registered manager ensured staff learnt from incidents when things went wrong and took action to minimise the risk of a recurrence.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
We were assured the provider was following national guidance on good infection prevention and control protocols in relation to the COVID-19 pandemic. Staff followed the measures in place to mitigate risks in relation to the COVID-19 pandemic and protect people from the risk of acquiring infections.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 01/08/2019 and this is the first inspection.
Why we inspected
This was a planned inspection of a newly registered service.