Fosse Healthcare - Leicester

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.

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.