Background to this inspection
Updated
8 August 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team
This consisted of one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses a domiciliary care service.
Service and service type
Fabs Domiciliary Homecare Limited provides care and support to adults some who are living with a physical disability. It provides personal care to adults living in their own homes. At the time of this inspection 35 people were using the service. Not everyone using Fabs Domiciliary Homecare Limited receives a regulated activity. The Care Quality Commission only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating.
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 visit because the registered manager is often out of the office supporting staff. We needed to be sure that they would be in. The inspection activity started on 15 May and ended on 28 May 2019. We made telephone calls to people using the service on 15 and 16 May 2019. We visited the office location on 28 May 2019 to see the registered manager and to review care records, policies and procedures.
What we did
Before the inspection, we looked at information we held about the service including notifications sent to us. 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 nine people who used the service and four relatives. We spoke with the registered manager, deputy manager and three care workers. We looked at 10 care records and medicine administration records. We also looked at 10 staff records and other documents relating to the management of the service.
After the inspection
We contacted two health and social care professionals for their feedback about working with the service but did not hear back from either of them.
Updated
8 August 2019
About the service
Fabs Domiciliary Homecare Limited was previously known as Fabs Homecare Limited and is a domiciliary care agency.
People's experience of using this service
Staff had training in safeguarding adults. This helped staff to identify, report and take action to protect people from the risk of harm and abuse.
Risks to people's health and well-being were identified and managed by staff. Each person had a risk assessment and a risk management plans that identified, managed and mitigated those risks found.
There was enough staff available to support people to meet their care and support needs. Effective recruitment processes were used by the registered manager to recruit experienced staff.
Medicines were managed safely and people had their medicines as prescribed.
Staff had an induction on employment. All staff had access to ongoing training, supervision and appraisal.
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 their nutritional needs. People had meals and drinks prepared for them according to their individual preferences.
People had access to services when their health care needs changed. Staff understood what actions to take to respond to an emergency.
People had an assessment that identified their health and support needs. Care plans provided staff with enough guidance to meet people’s assessed needs. Care plans were reviewed on a regular basis with people’s contributions so they received their care in the way they wanted.
People confirmed that staff were kind. Staff carried out care and support that met people’s needs while protecting their dignity and respecting their choices.
No one receiving a service required end of life care. The registered manager understood how to effectively support people who required specialist palliative care.
The provider had a complaints policy. People knew how to make a complaint about the service if they were unsatisfied with their care.
There were systems in place that monitored and reviewed the service to ensure the care was of a good standard.
The Care Quality Commission (CQC) were notified of incidents that occurred at the service.
The registered manager worked in partnership with health and social care professionals to help them improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
The previous rating was under the previous name, the rating was Good. (The inspection report was published on 12 September 2018). This inspection has been carried out due to the change in legal entity.
Why we inspected
This was a planned inspection based on the rating of the service at the last inspection.
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.