Fuchsia Homecare Gorleston

Updated 31 July 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.

Inspection activity started on 13 June 2019 and ended on 20 June 2019. We visited the office location on 13 June 2019.

What we did before the inspection

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 five people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the provider, registered manager, care co-ordinator, field care supervisor and three members of the care staff

We reviewed a range of records. This included five people’s care records and medicine records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service including training records, quality assurance records, policies and procedures.

After the inspection

We spoke with the contracts manager of the local authority because the service is supporting people referred to the service by the local authority.

Updated 31 July 2019

About the service

This service is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection the service was supporting 40 people. 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

People told us they felt safe and that they were supported by staff they knew well. Staff knew about safeguarding and how to report potential abuse, so this could be investigated and acted upon on by the management of the service.

Each person had a risk assessment within their care plan which contained information about how to keep them safe. Within each care plan there was an assessment of the person’s needs and how they wished to be supported had been clearly stated. Care was reviewed as necessary and people were asked for their feedback. People were content with the service provided by Fuchsia Homecare Gorleston. They said that the service was reliable and was provided at a time of their choosing.

Staff received appropriate support and training for their role. Staff were trained to administer prescribed medicines. There were opportunities for staff to further develop their skills, knowledge and progress into roles with more responsibility.

People received appropriate support to maintain good hydration and nutrition. The service worked closely with other professionals to support people to meet their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us staff were kind, understanding and caring towards them. They informed us staff treated them with respect and cared for them in line with their preferences. People were involved in the planning of their care and their care records were person centred.

The service had a complaints process in operation designed to resolve complaints to everyone’s satisfaction and learn lessons to develop the service.

The registered manager had systems in place to manage and monitor the service. There was a quality assurance system in place to ensure the smooth running of the service and take action for resolving problems and improving of the service. People were given an opportunity to feedback their views on the service and their comments were acted on.

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)

This service was registered with us on 12/06/2018 and this is the first inspection.

Why we inspected

This was a planned inspection of the service because it was the annual anniversary since registration and required a rating to be published.

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.