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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

Reports


Inspection carried out on 18 May 2016

During a routine inspection

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 carried out on 21/08/2015

During an inspection to make sure that the improvements required had been made

We carried out an announced comprehensive inspection of the service in January 2015. Breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches.

Regulation 23 HSCA 2008 (Regulated Activities) Regulations 2010 Supporting staff. The provider had not ensured staff received appropriate, training, professional development and supervision.

Regulation 21 HSCA 2008 (Regulated Activities) Regulations 2010 Requirements relating to workers. The provider did not operate effective recruitment procedures.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Fountains Homecare on our website at www.cqc.org.uk.

We contacted the registered manager 48 hours before we carried out the inspection. This was because the service provides domiciliary care and we needed to be sure that someone would be present at the time of our inspection.

Fountains Homecare is a domiciliary care agency which provides personal care for people living in their own homes to meet their individual social care needs and circumstances. At the time of the focused inspection there were six people using the service who required personal care. The service has a registered manager and the service is office based in Hurworth, County Durham.

A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, 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 the last inspection on 5,6 January 2015, we asked the provider to take action to make improvements on staff safety checks and staff training and we found that these actions were complete’.

You can see what action we told the provider to take at the back of the full version of the report.’

As part of the focused inspection we spoke to the registered manager and also two members of the staff team. We looked at evidence including: staff safety check records, service user feedback questionnaire responses, staff training records, quality check information, staff supervision records and minutes of team meetings.

Inspection carried out on 5 and 6 January 2015

During a routine inspection

This inspection took place on 5 and 6 January 2015. We contacted the registered manager on the day in December 2014 when we wished to carry out inspection. This was because the location provides a small domiciliary care service and we needed to be sure that someone would be in. Due to illness the registered manager was unable to meet our notice period and the inspection was arranged for the following week.  This meant we gave four day's notice to the provider of our intended inspection.

At our last inspection in the service was compliant.i

Fountains Homecare is a domiciliary care agency which provides personal care for people living in their own homes to meet their individual social care needs and circumstances. At the time of our inspection there were six people using the service who required personal care.

The service had a registered manager who was also the provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered managers, 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. The registered provider also delivered care to people in their own homes.

We found the provider had not carried out appropriate recruitment and did not have sufficient checks in place which ensured people were cared for by staff who were of good character and had the qualifications, skills and experience to perform the work.

We found staff had not been assessed as competent to administer people's medicines in line with the provider's policy.

We found the registered manager had not supported people to carry out their role. This included provided staff with training and supervision.

People we spoke to told us they liked the service and felt they could ask for the support they needed. We found the service to be caring of the person and their household members.

We found the provider had in place care plans and risk assessments which were personalised and described people’s needs in detail. We also found the provider had included people’s social needs and their interests in the care plan.

We looked at the quality checks carried out by the registered manager and found these needed to be more robust.

We found there were gaps in the registered manager’s record keeping particularly with regard to staff recruitment.

You can see what action we told the provider to take at the back of the full version of the report

Inspection carried out on 17, 21 January 2014

During a routine inspection

Fountains Homecare is a newly established Domiciliary Care Agency and at the time of our inspection it was providing a service to five people.

We visited the agency’s office to look at records and talk to staff about how they provided safe and appropriate care to people. We spoke with five people who used the service to find out their experience of using the agency.

People we spoke with were happy with the service they received from Fountains Homecare.

Staff demonstrated they understood people’s personal needs and the individual ways they communicated their needs.

We found that staff treated people with respect and gained people’s consent before they supported them.

We found that staff were aware of safeguarding procedures and knew how to keep people safe. People who used the service and their relatives told us they felt safe.

We found that there was a system for monitoring the quality of the service.