Background to this inspection
Updated
3 August 2022
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 Health and Social Care Act 2008.
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.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
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 14 June 2022 and ended on 6 July 2022. We visited the location’s office on 16 June 2022.
What we did before the inspection
We reviewed information we had received about the service and we sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We met with the registered manager. We looked at records the provider used for managing the service, including the care records for two people who used the service, three staff files, and other records used by the provider for monitoring the quality of the service. We spoke with two relatives after the inspection. We also tried to contact two care workers but did not receive a response from them.
Updated
3 August 2022
About the service
Fawaz Homecare is a domiciliary care service providing personal care and support to people of all ages living in their own homes. At the time of our inspection there were two people using the service.
People’s experience of using this service and what we found
During the inspection we identified risk assessments and care plans did not always have relevant information to help mitigate risk and provide care workers with appropriate guidance. Additionally, care plans lacked background information such as people’s cultural and religious needs.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We found that the provider did not complete best interest decisions for people who did not have the mental capacity to consent to their care, and that relatives had signed consent forms without the legal authority to do so.
The provider had some quality monitoring process in place, but these had not always been effective as they had not enabled the provider to identify and address the issues we found during the inspection.
Safe recruitment practices were followed but not always recorded correctly, for example gaps in employment history. Staff received appropriate training to meet people’s care needs.
The provider had appropriate systems to help safeguard people from abuse, and relatives confirmed they felt care was provided in a safe and caring manner.
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 March 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe care, consent to care, person centred care and good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.