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Archived: Fountains Homecare Good

This service was previously registered at a different address - see old profile

This service is now registered at a different address - see new profile

Inspection Summary


Overall summary & rating

Good

Updated 4 June 2016

Fountains Homecare is a domiciliary care service. It provides personal care for people living in their own homes in Hurworth, Darlington and surrounding areas. The service currently provides care and support to five people.

The service has a registered manager who is also the registered provider and they were involved directly in the running of the business and the provision of care. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered Nominated individuals, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our inspection in January 2015 we asked the provider to take action to make improvements in relation to staff supervision, staff recruitment and quality assurance and this action has been completed.

People were protected by the service’s approach to safeguarding and whistle blowing. People who used the service told us that they were safe, could raise concerns if they needed to and were listened to by staff. Staff were aware of safeguarding procedures, could describe what they would do if they thought somebody was being mistreated and said that management listened and acted upon staff feedback.

People we spoke with who received personal care felt the staff were knowledgeable, skilled and their care and support package met their needs. People who used the service told us that they had a small team of staff, who were reliable and arrived when expected. Staff confirmed that they were not rushed and had time to provide the care people expected.

Staff told us they were supported by their management and could get help and support if they needed it. Staff did receive supervision through observations and discussions that were recorded.

The service had systems to ensure staff were appropriately recruited, trained and supported. The service was introducing the Care Certificate for new staff and staff were being supported to achieve National Vocational Qualifications in health and social care.

The staff undertook the management of medicines safely and in line with people’s care plans. The service had health and safety related procedures, including systems for reporting and recording accidents and incidents. The care records we looked at included risk assessments, which had been completed to identify any risks associated with the person’s environment and delivering the person’s care.

People and staff told us when they raised any issues they were dealt with promptly and professionally and everyone we spoke with knew how to speak to the management team at the office if they had any concerns.

There were quality assurance systems in place to gain the views of people using the service and staff and the registered manager would discuss developments and issues together.

The service was an active part of the local community. We saw that the registered manager and staff were committed to supporting people to remain in their own homes with support and worked closely with local GP and district nursing services and other specialist services.

Inspection areas

Safe

Good

Updated 4 June 2016

The service was safe.

We found that there were effective processes in place to make sure people were protected from bullying, harassment, avoidable harm and abuse. Staff took appropriate action to raise and investigate incidents and concerns.

Effective recruitment procedures were in place.

Risk assessments were undertaken of the environment and personal risks.

Appropriate systems were in place for the management and administration of medicines.

Effective

Good

Updated 4 June 2016

The service was effective.

Staff were trained and supported to deliver the care and support people required.

Records showed and staff understood the importance of obtaining people’s consent prior to any tasks being undertaken and staff had been trained in the Mental Capacity Act.

Where the service provided support with mealtimes, we saw that people were provided with effective nutritional support by trained staff.

Caring

Good

Updated 4 June 2016

The service was caring.

We heard the staff had developed positive relationships with people and were caring and kind.

People told us their privacy and dignity were very well respected.

People were supported to retain their independence and we heard examples of the service supporting people being rehabilitated with help from other professionals.

Responsive

Good

Updated 4 June 2016

The service was responsive.

People’s care plans contained individual, person centred information about their needs and preferences.

Care was provided on an individual basis, based on people’s individual needs, with changes being made to reflect changing circumstances.

People had been provided with information on how to make formal complaints and said that they were listened to by the registered manager.

Well-led

Good

Updated 4 June 2016

The service was well-led.

People received a reliable and caring service, and expressed good levels of satisfaction with their care.

The service sought regular reviews of client care and feedback.

The management team were immediately responsive to the issues raised from a previous inspection and had put them right quickly.