Background to this inspection
Updated
14 November 2019
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 houses and flats.
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
We gave the service 48 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.
What we did before the inspection
Before the inspection we reviewed the information we already held about this service. This included details of its registration and feedback we received from the host local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager. We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with a person who used the service and a relative of a person by telephone. We also spoke to a staff member who was employed as a care assistant.
Updated
14 November 2019
About the service
Fean Services UK Ltd is a domiciliary care agency providing support with personal care to three people at the time of the inspection.
People’s experience of using this service and what we found
Systems were in place to safeguard people from the risk of abuse. There were enough staff to support people and checks had been carried out on prospective staff to ensure they were suitable to work in a care setting. Risk assessments had been carried out so that people were supported safely. Medicines were well managed, and procedures were established to reduce the risk of the spread of infection.
Assessments were carried out of people’s needs to check the service was able to meet those needs. Staff received support through training and supervision to help them in their role. Where people were supported with meal preparation they were able to choose what they ate and drank. The service worked with other agencies to promote people’s health, safety and wellbeing. 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 were able to consent to the care provided.
Staff understood how to support people in a way that promoted their dignity, independence and choice. People told us staff were caring in the way they interacted with them. People’s confidentiality and privacy were respected.
Care plans were in place which were personalised around the needs of individuals. Care plans included information about how to support people with their communication needs. Systems were established for dealing with complaints and people knew how to make a complaint.
People and staff spoke positively about the senior staff and told us they were accessible and helpful. Systems were in place for monitoring and improving the quality of support provided. Some of these included seeking the views of people who used the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 24/07/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on our inspection scheduling programme.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.