Updated 16 February 2024
Fosse Healthcare – Nottinghamshire is a domiciliary care agency providing personal care and support to older people and younger adults with varying levels of care and support needed, including physical disabilities and dementia. At the time of the inspection, the service was supporting 379 people with their personal care needs. Fosse Healthcare – Nottinghamshire was last rated Good (published 30 October 2020). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). Our assessment of this started off site on 13th March 2024 unannounced. We conducted our on-site assessment on 16 April 2024, having announced this 24 hours beforehand. This means the provider was told we were going to be attending beforehand. We assessed 13 quality statements from the safe, caring, and well-led key questions and found areas of good practice and concerns. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will conduct future assessments to cover other parts of the Framework and will update our website with our findings. We have identified breaches in relation to governance and staffing. This was due to ineffective auditing processes and deployment of staff when staff numbers had been reduced. We have asked the provider for an action plan in response to our concerns.