Background to this inspection
Updated
12 March 2022
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 team consisted of one inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in their own houses, flats and specialist housing.
The service had a manager registered with the CQC. 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. Inspection activity started on 23 February 2022 and ended on 28 February 2022. We visited the location’s office on 23 February 2022.
What we did before the inspection:
We reviewed information we had received about the service since the last inspection. We reviewed statutory notifications submitted by the provider. Statutory notifications contain information providers are required to send to us about significant events that take place within services. 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 and the business manager. We reviewed a range of records including two people’s care records, medicines administration records for one person, three staff records and other records relating to the management of the service.
After the inspection:
We spoke with five relatives about their experiences of using the service. We also asked five care support workers and a healthcare professional for their feedback about the service. We reviewed additional documentation relating to people’s care and the management of the service.
Updated
12 March 2022
About the service
Fabulous Homecare LTD is a domiciliary care agency that provides personal care to people living in their own homes in the community. The service was previously known as Fabulous Home Care Agency but operated under a different legal entity. The new provider registered with us in June 2019.
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 our inspection there were 10 people using the service.
People’s experience of using this service and what we found
People were safe. Staff had been trained to safeguard people from abuse. They understood the risks to people’s safety and wellbeing and what they should do to keep people safe. There were enough staff at the time of this inspection to support people using the service and meet their needs.
The provider undertook recruitment and criminal records checks to make sure staff were suitable to support people. Staff followed current practice when providing personal care and when preparing and handling food which reduced infection and hygiene risks in people’s homes.
Staff received relevant training to help them meet people’s needs. Staff were well supported by managers and encouraged to continually learn and improve in their role. Managers carried out checks on staff to make sure they were carrying out their duties appropriately and to a high standard.
Where the provider was responsible for this, staff helped people to eat and drink enough to meet their needs and to take their prescribed medicines. Staff understood people’s healthcare needs and how they should be supported with these in a timely and appropriate way.
People were satisfied with the care and support they received from staff. They received the care and support that had been planned and agreed with them. People’s choices for how this was provided were respected and staff delivered this in line with their wishes.
Staff were kind and caring and respected people’s rights to privacy, dignity and independence. They knew people well and understood how their identified needs should be met.
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.
Managers monitored and reviewed the quality of service that people experienced. They checked with people at regular intervals that the care and support provided was meeting their needs and sought their views about how the service could improve.
There were arrangements in place to make sure any accidents, incidents and complaints would be fully investigated and people would be involved and informed of the outcome. Managers worked with other agencies and healthcare professionals involved in people’s care and acted on their recommendations to deliver care and support that met people’s needs.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 11 June 2019 and this was the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.