Focus Care Professionals Ltd

Focus Care Professional Limited is a domiciliary care agency. It provides personal care and support to people living in their own homes.

Not everyone who used the service received personal care. At the time of this inspection 2 people were receiving personal care from the service. 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

Governance systems and processes were not fully established. We identified shortfalls in recruitment, medicine management, risk assessments, and overall management oversight of the service. Records of staff training and support were not provided, therefore we were not able to confirm staff had completed mandatory training as required. This put people at risk of harm and receiving unsafe care.

Safe recruitment practices were not always followed with appropriate checks not always being completed to ensure that only suitable staff were employed. People may have been placed at a risk of harm from staff members who had not been recruited safely. We could not be assured risk to people had been assessed and mitigated as risk assessments were not provided despite various requests to provide these.

Care plans were not person centred, incomplete and did not fully describe the care provided to people. Daily records did not describe the personal care provided to people. Relatives confirmed people’s needs were assessed, however, records of needs assessments were not provided despite several requests. People were protected from the risk of abuse because staff knew the action to take should they suspect or witness abuse.

Relatives told us they were happy with the care provided by staff and told us they felt involved in planning and organising the care.

Staff knew people well and delivered care and support to people in ways they preferred, respecting their choices and wishes.

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; however, were not able to confirm the policies and systems used to support this practice as these were not provided during this inspection.

The service involved people and their families with people's day to day care and support needs. Relatives told us they were listened to and were consulted about how their relative received care and support. Relatives told us the service was well led and staff were kind and caring.

Rating at last inspection

This service was registered with us on 12 December 2018 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and recommendation

We have identified breaches in relation to recruitment, risk management, medicines, staff training and good governance.

We have made a recommendation in relation to needs assessments and recording of daily care notes.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress.