29 September 2016
During a routine inspection
Foremost Healthcare (Leics) Limited is a domiciliary care agency that provides personal care to people in their own homes. On the day of our inspection the service was supporting 3 people.
There was a registered manager. A registered manager 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.’
People told us that they felt safe. Staff were aware of their responsibility to keep people safe. Risks were assessed and managed to protect people from harm and staff understood what to do in emergency situations. Safe recruitment practices were being followed.
People received their medicines as required. Medicines were administered safely by staff who were appropriately trained and competent to do so.
Staff had received training and supervision to meet the needs of the people who used the service. Staff told us that they felt supported.
People made decisions about their care and the support they received. People were involved in reviewing their careand their opinions sought and respected. The registered manager understood their responsibility to ensure people were supported in line with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).
People’s nutrition and hydration needs were assessed and met. People’s health needs were met and when necessary, outside health professionals were contacted for support. People’s health records were being maintained.
People’s independence was promoted and people were encouraged to make choices. Staff treated people with kindness and compassion. Dignity and respect for people was promoted.
The care needs of people had been assessed. Staff had a clear understanding of their role and how to support people who used the service. People contributed to the planning and reviewing of their care.
People and most staff felt that the registered manager was approachable and action would be taken to address any concerns they may have. People and staff were kept informed of changes to the service and their feedback was sought.
There were a range of audit systems in place to measure the quality and care delivered so that improvements could be made.