Full Care Solutions Limited

Updated 4 January 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was announced. We gave the service 72 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 10 December 2019 and ended on 17 December 2019. We visited the office location on 10 December 2019.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We also used information identified during the last inspection.

The provider had completed a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection

During the inspection

We spoke with two people and four relatives about their experiences of receiving a service from Full Care Solutions. We spoke with six members of staff including the nominated individual, the registered manager, the care co-ordinator and three care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included three people's care records and risk assessments and a selection of medicines records. We looked at three staff files in relation to recruitment and training. A variety of records relating to the management of the service, including quality assurance files and service user questionnaires were viewed.

Updated 4 January 2020

About the service

Full Care Solutions provides personal care for people living in their own homes. At the time of our inspection visit, 18 people were receiving personal care.

People's experience of using this service

There were enough staff to allocate all the visits people required. Risks to people’s health and wellbeing were identified and support plans provided staff with information about how to minimise the risk of harm. Staff understood their responsibility to keep people safe and report any concerns. Staff had received training in safe medicines management and people received all their prescribed medicines.

People were supported by well-trained staff who felt confident in their roles. People had 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. When staff had concerns about people's health or wellbeing, they ensured people received the medical care they required.

People and relatives were happy with the staff who visited them and described care staff as kind, friendly and polite. The care and support people received supported them to maintain independence and remain living at home. Staff felt motivated in their role because they felt valued and appreciated by the managers.

Care plans provided detailed guidance for staff about everything they needed to do on each visit and were responsive to people’s changing needs. People and relatives were confident if they had any concerns or worries, they would be listened to and action taken to address their concerns.

There was a friendly, open and supportive culture amongst the managers and staff team. Managers had a positive approach and used feedback to improve the quality of the service provided.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Requires Improvement. (The last report was published on 11 December 2018). At this inspection we found the service had improved and the service is now rated as Good.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.