Background to this inspection
Updated
20 March 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
This inspection was completed 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. Inspection activity started on 28 January 2020 with telephone contact to people and their relatives and ended on 06 February 2020. We visited the office location on 04 and 06 February.
What we did before the inspection
We reviewed information we had received about the service, including the last inspection report. We used all of this information to plan our inspection.
The provider was not asked to complete 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 took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with six relatives about their experiences of the care provided. The registered manager sought consent for us to visit two people who were receiving support from staff. We spoke with six staff including the registered manager, assistant manager and the provider’s director of health. We received feedback from one healthcare professional who had regular contact with the service.
We reviewed a range of records. This included three people’s full care plan and a range of other people’s care records, and medication records. We looked at three staff records in relation recruitment and supervision and reviewed staff training records. We reviewed a variety of records relating to the management of the service, including a range of audits and the management of complaints.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed a range of meeting minutes, external and internal audits. We spoke with one staff member and sought feedback from four professionals.
Updated
20 March 2020
About the service
Fairways Care (UK) Limited is a community-based service which provides personal care services to children, young people and adults within their own homes. Fairways as a provider is a charitable not-for-profit organisation. Fairways Care (UK) Limited provides an outreach model of care that aims to deliver a whole family approach to delivering people’s support which included respite support and supporting people to access the 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 receive personal care, we also consider any wider social care provided.
At the time of the inspection 34 people were receiving support with personal care and wider family support. Fairways Care (UK) Limited supported children, young people and adults who had a range of needs including people who had a learning disability, autism spectrum disorder, physical disability, mental health and complex health needs.
People’s experience of using this service and what we found
There were systems in place to keep people safe and the service met its safeguarding responsibilities for both children and adults. Relatives told us their loved ones received safe care and staff knew people and their needs well. There were person centred plans in place to direct staff on what action to take to reduce or manage identified risks to people.
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. Where children and young people required support to make decisions, parents or those with parental responsibility were involved in making decisions about their care.
Relatives consistently told us that staff were kind and caring and worked with people and their families in ways that respected their privacy, dignity and independence. Staff were motivated and passionate to deliver good quality, person-centred care to people. Staff supported people to access and engage in the local community where this was funded and understood the importance of enabling positive relationships.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
The registered manager and leadership of the service created a person centred culture to the delivery of care. There were systems in place to monitor the delivery and experience of the care people received. The provider sought positive opportunities to engage with people and staff and took an active role in implementing local community projects.
People’s care plans were person centred and captured their needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was good (published 26 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.