Fosse Healthcare - Derby

People had their health and care needs assessed and care plans and risk assessments were kept under review. Staff completed regular training relevant to their job roles. New staff completed an induction programme, which included learning from more experienced staff. Where care staff helped people with their meals and drinks, their dietary preferences and choices were known and respected. Other health and social care professionals were involved in people's care when needed.

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.

People received care that respected their privacy and promoted their dignity and independence. Care staff understood how to make people feel comfortable and took account of people's different needs when providing care. People told us they thought the care staff were compassionate and kind. People were supported to be involved in their care and information on how to access advocacy services was available.

People's decisions about their care were respected. Staff understood the importance of supporting people to have as much choice and control as possible in their lives. People received personalised care that was responsive to their needs and people's relationships were valued and supported. Communication needs were assessed and understood. Complaints and feedback processes were available and followed should people wish to make a complaint or offer their feedback.

There was no registered manager at the time of our inspection, however the recently appointed manager

had begun the process of registration. Audit and quality assurance processes were in place, however some of these required more time to fully embed improvements in the service. Policies were up to date and a range of oversight checks on the quality and safety of services were in place by the provider. People, relatives and staff were able to contribute their views to the development of the service and this supported a positive and open culture. The provider worked in partnership with others to help ensure good care outcomes for people using the service.