Fastrack Resources Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We looked for evidence that staff involved people in decisions about their care and treatment and provided them advice and support. Staff regularly reviewed people’s care and worked with other services to achieve this.

This is the first inspection for this service since its registration with CQC. This key question has been rated as requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

The service was in breach of legal regulation in relation to person-centred care and good governance.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs were not comprehensively assessed and did not always include sufficiently detailed information and instructions regarding all their physical, mental health, social and communication needs.

The provider had not sufficiently assessed and recorded a person’s needs in relation to their Parkinson’s disease and recurring cancer, or their nutrition needs and what support they needed with eating. The provider had not sufficiently assessed and recorded a person’s mobility requirements or their participation in social or community activities. The provider had not sufficiently assessed or recorded the support a person needed with managing their finances, how to support them with their personal care or their mobility requirements.

However, staff had got to know people well over time, so, people had received the right care and support. For example, staff knew giving a particular person a hot water bottle when they experienced pain helped alleviate their pain.

Not all leaders demonstrated a good understanding of current legislation and national standards relevant to the service. There were insufficient systems for ensuring they kept up to date and embedded these in their service.

The provider did not understand the regulatory requirements related to mandatory learning disability and autism training for staff or the principles of the NHS England Accessible Information Standard (AIS). The provider did not always fully understand the regulatory requirements related to submitting notifications to CQC.

Staff worked well together. Information was recorded and shared between staff in a timely manner to ensure people received the right care and support and the right time.

A member of staff said, “The teamwork is good, when I provide care, someone else covers admin for the service, which is very helpful”. Another member of staff told us, “We are a strong team, we work well together”.

People’s day-to-day health and wellbeing needs were met. People and their relatives were supported to be involved in managing their own health, care and wellbeing needs as much as possible. Staff supported people to make healthier choices, including their diet, lifestyle, physical activity and personal and oral hygiene.

A person’s relative told us, “I prepare the main meals, but they [staff] bring [the person] drinks” and “They [staff] do bring [him/her] lots of salmon, as [he/she] can chew that”. Another person’s relative said, “[Name of carer] takes [him/her] out in [his/her] wheelchair so that they are not just stopping in bed or sitting all the time” and “[The carer] does exercises with [him/her]”.

The service did not always sufficiently monitor people’s care and support. People’s daily notes were not always completed by staff. Care reviews were not carried out regularly and/or clearly recorded. Quality assurance audits were not comprehensive and were not always effective.

There was no evidence of clinical monitoring tools being in place or used, for example, to record the fluid intake of people whose health needs required a certain level of hydration.

People and their relatives’ rights and decisions around consent were understood and respected by staff and the service.

A person told us, “[The carer] always asks for my consent before doing anything”. A person’s relative said, “They [staff] always ask for consent, always”.