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

Inspection Summary


Overall summary & rating

Good

Updated 10 September 2016

Fisher Healthcare Ltd. provides the regulated activity of personal care to people who live in their own homes. There were three people receiving personal care from the agency when we visited. All three people were receiving personal care from live in carers who were supporting them 24 hours a day. The inspection took place on 28 July 2016 and we gave the provider 48-hours’ notice before we visited. This is because the registered manager is often out of the office supporting staff and we needed to be sure that they would be available.

Before the inspection we looked at all of the information that we held about the service. This included information from notifications received by us. A notification is information about important events which the provider is required to send to us by law.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Staff received training to protect people from harm and they were knowledgeable about reporting any harm. There were a sufficient number of staff and recruitment procedures ensured that only suitable staff were employed. Risk assessments were in place and actions were taken to reduce identified risks.

Staff were trained in the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions. We saw that no one receiving care from the service was subject to any restrictions on their liberty.

Staff were supported and received ongoing trained to do their job. The staff were in contact with a range of health care professionals to ensure that care and support was well coordinated. Health professionals we spoke with were complimentary and positive about the service. Risk assessments were in place to ensure that care and support could be safely provided.

People’s privacy and dignity were respected and their care and support was provided in a caring and a patient way.

A complaints procedure was in place and complaints had been responded to, to the satisfaction of the complainant. People felt able to raise concerns with the staff at any time.

The provider had quality assurance processes and procedures in place to monitor the quality and safety of people’s care. Staff confirmed that there was an open culture within the management of the agency and that they felt well supported by management staff. People and their relatives were able to make suggestions in relation to the support and care provided.

Inspection areas

Safe

Good

Updated 10 September 2016

The service was safe.

Staff were aware of their roles and responsibilities in reducing people’s risk of harm.

Recruitment procedures and staffing levels ensured care was provided to safely meet people’s needs.

People were supported with their medicines.

Effective

Good

Updated 10 September 2016

The service was effective.

The provider had procedures and training for staff in place regarding the Mental Capacity Act 2005 (MCA) so that people were not at risk of unlawful restrictions being placed on them.

Staff were supported by the management team to carry out the expected care and support for people.

People’s health and nutritional needs were met.

Caring

Good

Updated 10 September 2016

The service was caring.

People were looked after in a caring and respectful way.

People’s rights to privacy, dignity and independence were valued and respected by care staff.

People were encouraged to be independent as possible and supported to contribute to decisions relating to their care.

Responsive

Good

Updated 10 September 2016

The service was responsive.

People were actively involved in reviewing their care needs and this was carried out on a regular basis.

People were supported to receive care from healthcare professionals where appropriate.

People were aware of the complaints procedure and felt confident that their complaint would be dealt with thoroughly.

Well-led

Good

Updated 10 September 2016

The service was well-led.

Effective procedures were in place to monitor and review the safety and quality of people’s care and support.

Staff were supported and felt able to raise concerns and issues with the management staff and registered manager.

People and staff were involved in the development of the agency, with arrangements in place to listen to what they had to say.