Care Fully Limited Also known as Flexicare Home Services North London

Updated 28 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place between 1 and 5 November 2018. On the 5 November 2018 we contacted people and a social care professional to get feedback about their experience of the service. We gave the provider 48 hours’ notice of our intended inspection to make sure that appropriate staff were available to assist us with the inspection.

Before our inspection we reviewed information, we held about the service including statutory notifications relating to the service. This included the Provider Information Return (PIR). This is a form that requires them to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with two people, one staff, a professional nurse and the registered manager.

We looked at two care plans, one employment file, quality monitoring records and other relevant documents relating to how the service operated.

Updated 28 November 2018

Care Fully Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of the inspection 2 people were supported by Care Fully Limited.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. We have rated well led as requires improvement. However, the overall rating remains Good.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The registered manager is also the provider for this location.

The service was safe. The registered manager and staff member understood safeguarding and were competent to report any concerns they had. People were supported to take their medicines safely by staff that were trained to ensure best practice. There were enough staff to provide support at a time they wanted. Safe recruitment practices were in place to employ suitable staff. Staff understood the importance of good infection control and wore appropriate equipment provided to keep people safe.

The service was effective. Staff had completed training to meet people’s needs effectively. The registered manager and staff member had access to regular support and meetings. The registered manager and staff member worked in line with the Mental Capacity Act 2005 (MCA) principles, they understood the importance of promoting people’s choice. People care needs were assessed and reviewed. Staff supported people with their nutritional and hydration requirements.

The service was caring. Staff knew people well and staff cared for them in a compassionate way. Staff respected people’s privacy and dignity and supported people to maintain relationships and their independence. Staff delivered care that was supportive, kind and caring. People were involved in deciding how their care was provided.

The service was responsive. People`s needs were assessed to ensure people received the support they required. People confirmed they were involved with their care reviews. People received support that promoted their independence. People knew how to raise any concerns or complaints if required. People confirmed they received their calls at a time they wanted.

Well-led required improving. The registered manager was clear about their vision and values for the service and what they wanted to achieve. The registered manager had a good overview of the service and ensured people’s needs were met. We found that the registered manager and staff member provided the correct support and managed risks appropriately. However, documentation needed to improve. For example, care plans required better guidance on how to deliver the care and support in a way the person wanted. Risk assessments also needed more detail on how to manage the identified risks. Documents for recording accidents and incidents also required improving.

Further information is in the detailed findings below.