- Homecare service
Farecare Gloucestershire Limited
We served a warning notice on Farecare Gloucestershire Limited on 25 February 2025 for failing to comply with their action plan in regards to 2 previous breaches of regulation and for failing to ensure people were kept safe by providing suitably trained staff as well as not managing medicines safely at Farecare Gloucestershire Limited.
Report from 29 January 2025 assessment
Contents
Ratings
Our view of the service
Date of assessment; 05 February 2025 to 06 February 2025. The service is a domiciliary care agency providing personal care to people living with physical health needs and dementia in their own homes. At the time of our inspection there were 26 people receiving a regulated activity. The assessment was completed due to concerns we received about the service. The service has been rated inadequate. We identified 4 breaches of regulations, 3 repeated breaches and 1 new breach. People were not supported to have maximum choice and control of their lives and staff did not support them in their best interests; the policies and systems in the service did not support safe practice. There were concerns around risk to people and how these were assessed and managed. Support plans and risk assessments were not completed to ensure people were receiving care which met their current needs. Medicines were not always administered safely, and people did not always receive them as prescribed. Staff were not recruited safely and did not always have the qualifications, skills, competencies and experience to carry out their role. The leadership, governance and culture did not promote the delivery of high-quality, person-centred care. The provider did not have consistent leadership and the management team, and senior staff were unclear about what their roles were. At the time of our inspection the service did not have a registered manager in place. For instances where CQC have decided to take civil enforcement action against a provider, we will publish this information on our website after any representations and/or appeal have been concluded. The service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of care provided.
People's experience of this service
Most people told us they felt safe, but they were not supported to understand and manage their risks. People were not involved in assessments around their care, however if they had any concerns people and their relatives knew who to contact. Most people and their relatives told us they were well cared for. People told us they did not have regular reviews of their care and were not asked to give feedback about their experiences. We asked the provider to contact people and relatives using the service and ask if they would consent to being contacted by CQC in order to gain their feedback. The provider told us only 2 out of 26 people and only 3 relatives consented to being contacted. We were unable to seek assurances and consider the point of view of all people receiving a regulated activity.