Fuchsia Homecare Ltd

Updated 30 November 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

This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post, however, the current manager had submitted an application to CQC to register which was being processed.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or manager would be in the office to support the inspection.

Inspection activity started on 23 August 2023 and ended on 18 October 2023. We visited the location’s office on 23 August 2023.

What we did before the inspection

We reviewed our systems and information we held about the service. 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 took this into account when we inspected the service and made judgements in this report.

During the inspection

We spoke with 5 people who used the service and 11 relatives about their experience of the care provided. We had contact with 30 members of staff including care staff, the manager, and the operations manager. We reviewed a range of records. This included care plans and a variety of other records relating to the management of the service were also considered as part of the inspection.

Updated 30 November 2023

About the service

Fuchsia Homecare Ltd is a domiciliary care agency that, at the time of the inspection, was supporting 92 people living in their own homes within the local community. 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

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

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.

Right Support:

People were supported to achieve consistently positive outcomes, which improved their wellbeing and enhanced their quality of life. They received support from consistent care workers who knew them well and how they liked to be supported. 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's needs were assessed, and care records developed with them, and their relatives where required. Care records were updated regularly and clearly promoted preferences and choice. Medicines were managed safely, and staff were appropriately trained. People and their relatives were assured that safe infection control measures were taken by staff such as wearing PPE and following infection control procedures to reduce the risks of infection.

Right Care:

People received kind and respectful care. People and their relatives were actively involved, wherever possible, in planning and reviewing their care and support. Staff were proactive in developing ways to ensure people could communicate their wishes and views and be fully involved in decisions.

Right Culture:

The service was well-led. Governance arrangements were well embedded, and this ensured people received consistently safe, effective and very high-quality care. Staff were highly motivated and extremely proud of the work they did. People using the service and their relatives told us they would recommend the service to others. The service worked collaboratively with healthcare professionals to plan extremely person-centred care and support

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

Rating at last inspection

The last rating for this service was good (published 10 November 2017).

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fuchsia Homecare Ltd on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.