ForExcel Healthcare

Updated 8 September 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 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.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection, there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure the provider or registered manager would be in the office to support the inspection. Inspection activity was carried out between 13 July and 4 August 2023. We visited the location’s office on 13 July 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We did not seek feedback from the local authority, as no there were no commissioning arrangements in place at the time of the inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 relative about their experience of the care provided. We also spoke with 3 members of staff including the registered manager and 2 support workers.

We reviewed a range of records. This included 1 care plan, 2 staff recruitment files, staff training records and records associated with the provider's quality monitoring systems.

Updated 8 September 2023

About the service

ForExcel Healthcare is a domiciliary care agency providing personal care to people in their own homes. 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. At the time of the inspection 1 person was receiving the regulated activity personal care.

People's experience of using this service and what we found

Relatives said they felt the service was safe. There were enough staff to care for people safely and correct staff recruitment procedures were followed. Staff understood about safeguarding and how to report concerns. People’s care plans contained risk assessments, with information about how to keep them safe.

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 received enough training and supervision to support them in their roles.

We received positive feedback about the care provided. Staff were described as kind and caring and treated people well.

Although no complaints had been made, systems were in place to respond to these if necessary. The feedback we received was that the care was person centred.

There were systems in place to monitor the quality of service including staff meetings and satisfaction surveys. We have made a recommendation about how governance of the service and partnership working could develop further.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Rating at last inspection

This service was registered with us on 17 July 2020 and this is the first inspection.

Why we inspected

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

The overall rating is Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ForExcel Healthcare on our website at www.cqc.org.uk.

Enforcement and recommendations

We have made two recommendations about how governance of the service and partnership working could be developed further.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. For more details, please see the full report which is on the CQC website at www.cqc.org.uk