Fabeliz Services Limited

Updated 24 May 2023

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

This inspection was completed by one Inspector and one Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care service. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 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 30 March 2023 and ended on 6 April 2023. We visited the location’s office/service on 30 March 2023 and 6 April 2023.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed information we had received about the service such as statutory notifications and information shared with CQC by members of staff, the public and professionals.

We used all this information to plan our inspection.

During the inspection

We reviewed 4 peoples care plans, 2 staff files and several other documents relating to peoples care and the management of the service.

We spoke to four people who use the service, 2 professionals and six members of staff including care staff and the registered manager.

Updated 24 May 2023

About the service

Fabeliz is a Domiciliary care agency providing the regulated activity personal care, to people in their own home. At the time of our inspection, there were 18 people using the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, 9 people were receiving personal care from the service.

People’s experience of using this service and what we found

Staff had not always been recruited in line with industry safety standards and people’s topical medicines were not always administered in line with best practice. Where accidents and incidents occurred, staff and management took appropriate action to support people and reduce the risk of reoccurrence. People told us they felt safe. People were supported by staff who were trained in and had a good knowledge of safeguarding principles.

The service was led by a registered manager who valued person centred care and supported people and staff in line with these values.. The registered manager maintained good relationships with health and social care professionals and worked closely with professionals to ensure good outcomes for people.

However, quality assurance systems were not always effective in identifying areas for improvement

Rating at last inspection

The last rating for this service was good (published 21 November 2018).

Why we inspected

The inspection was prompted in part due to concerns received about management of oral medicines, not working with professionals effectively and inappropriate staff practice.

As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this report.

The overall rating for the service has remained good based on the findings of this inspection.

Enforcement and Recommendations

We have made recommendations regarding the service’s current quality assurance systems, medicines management and recruitment processes.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.