We carried out a review of the data available to us about Faith Care Line Services Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Faith Care Line Services Ltd, you can give feedback on this service.
Faith Care Line Services Ltd is a domiciliary care agency providing support to 10 people, of which eight were receiving personal care. This service is provided to older people, people living with dementia, learning disabilities or autistic spectrum disorder, physical disability and younger adults.
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.
Staff competence to administer medicines safely had not been effectively assessed and this was against the provider's policy. Risks were identified and managed well. Sufficient staff with appropriate skills were recruited safely and deployed in a way which kept people safe. Staff applied their knowledge of hygiene and safeguarding systems well. One person told us, "I like to go to bed at my preferred time and staff are excellent at doing this for me. I feel safe not being in bed too long." Lessons were learned when things did not go quite so well.
People's assessed needs were met by staff with appropriate skills and whose induction, supervision and training was kept up-to-date. The provider worked well with professionals involved in people's care. People were supported to eat and drink well. Staff enabled people to access healthcare and support services.
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.
Staff supported people with compassion, thought and kindness. One relative told us how genuine and sincere staff were and that staff cared from the heart. People's care was provided with dignity and respected their confidentiality. Staff respected people's privacy and encouraged independence. People had a say in developing their care and how and whom provided this. Support to access advocacy was provided.
People's care needs including preferences and abilities had been identified and acted on. However, guidance for staff how to meet people’s needs was lacking. This put people at risk of their care not being as person centred as it could have been. People knew how, but had not needed, to raise a complaint. Systems and procedures were in place to support people with end of life care and in an emergency situation.
The registered manager was aware of their responsibilities and acted on improvements they had identified. The registered manager had fostered an open and honest staff team culture, staff were supported. People, relatives and staff had a say in how the service was run. Quality assurance, audits and observations of staff practises were effective in identifying what worked well and if any changes were needed. The provider worked well with others to provide people with joined up care.
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 requires improvement (published 2 March 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous inspection rating.
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.
Faith Care Line Services Ltd is a domiciliary care service that was providing personal care to two people at the time of the inspection.
People’s experience of using this service:
We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around governance. Details of action we have asked the provider to take can be found at the end of this report.
The provider’s governance systems and processes were not effective as they had not identified areas of the service where improvements were needed. There was a lack of organisational oversight at the service. The provider’s representative and manager had not completed regular audits to ensure the service provided to people was effective and safe, and staff were recruited safely.
The provider’s representative could not demonstrate to us that staff had received training necessary to support people well. Not all staff received regular supervision where they could discuss their performance, and identify training and development needs.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Whilst people using this service did not lack the mental capacity to make decisions, some staff could not demonstrate basic understanding of the Mental Capacity Act 2005. They did not know how this could impact on the care and support they delivered to people.
People told us they felt safe and this was because of the service provided by staff. However, some staff were not able to demonstrate a sufficient understanding of what harm to people and poor care looked like.
Risk assessments were in place to identify possible risks to people`s health and well-being and measures were implemented to mitigate the risks. Care plans were developed and personalised to give guidance to staff on how to support people effectively. However, not all of these records or risk assessments were up-to-date or captured all risks to people as guidance for staff. This included risks posed by people’s health conditions.
People told us they made decisions about what medicines they took. People’s medicines were listed as information for staff within their care records. However, there was no guidance for staff about any potential medicine side effects to monitor for.
Staff were aware that all incidents needed to be reported to the management to ensure people’s safety. However, not all staff were aware of how these incidents should be documented.
Staff encouraged and supported people to live as independent a life as possible. There were enough staff to meet people’s needs. People told us they had not experienced late or missed care visits.
People were encouraged to eat a healthy and balanced diet. They had regular health checks and staff, where needed, supported them to attend their health appointments.
People told us staff were kind and caring and helped them. People’s personal information was kept confidential. People were involved in discussions about their care and felt that communication with staff and the management was good. People told us they had not had to raise any concerns. They said they would be confident they would be listened to should they need to do so.
People’s dignity and privacy was promoted and respected by staff. Staff enabled people to maintain and develop relationships.
More information is in the detailed findings below.
Rating at last inspection:
This is the first inspection of the service since they registered with the CQC on 13 November 2017.
Why we inspected:
The service was inspected as it had not had an inspection since registering with the CQC.
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 any concerning information is received we may inspect sooner.