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Archived: Fabulous Home Care Agency Good

Inspection Summary


Overall summary & rating

Good

Updated 20 November 2018

Fabulous Home Care Agency registered with the Care Quality Commission (CQC) in September 2017. The service first started operating at a location in Chelmsford, Essex. In August 2018 the service relocated to its current location based in the London Borough of Croydon. This is the first inspection of the service since registration.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. At the time of our inspection six people were using the service. Not everyone using the service receives the regulated activity. CQC only inspects the service being received by people provided with ‘personal care’, that is help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

The service was not required to have a registered manager. This was because the service is owned by an individual provider who also manages the service. Registered providers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The provider was aware of their registration responsibilities and submitted statutory notifications about key events that occurred at the service as required.

People said they felt safe with staff. Staff were trained to safeguard people from the risk of abuse and knew how to report any safeguarding concerns to the appropriate person and agencies. The provider had systems to assess and identify risks posed to people. Staff had a good understanding of the support people needed to promote their independence and freedom yet minimise any identified risks to them. Staff followed good practice to minimise risks from poor hygiene and cleanliness when providing personal care. Incidents involving people were reported promptly by staff for the provider to review and take action where required.

People contributed to the planning of their care and support. People’s needs were assessed to determine the level of support they required. The provider developed a care plan for them so that staff had relevant information about the care and support people required at each planned visit. Staff received relevant training to help them meet people’s needs. They were supported in their role to continuously improve their working practices. People’s care and support was reviewed with them by the provider, to ensure this was continuing to meet their needs.

People said staff were able to meet their needs. Staff were kind and caring and provided people with support that was dignified, respectful and which maintained their privacy always. Staff supported people to be as independent as they could be.

There were enough staff to meet people’s needs. The provider monitored staff turned up on time for scheduled visits and took action when any concerns about this were raised. The provider ensured wherever possible, people using the service received support from the same staff. People could specify who they preferred to be supported by. The provider carried out checks of staff’s suitability to support people as part of their recruitment arrangements.

Staff documented the support provided to people which kept others involved in people’s care up to date and informed. They monitored people’s general health and wellbeing and when they had concerns about this they took prompt action so that support could be sought from the relevant healthcare professionals. Staff worked closely with other healthcare professionals to ensure a joined-up approach to the support people received.

People and their relatives were satisfied with the care and support they received. People and staff spoke positively about the provider and described them as accessible and supportive. The provider had aims and standards for the service and communicated to people what they should expect from staff and the service in terms

Inspection areas

Safe

Good

Updated 20 November 2018

The service was good. Staff were trained to safeguard people from abuse. Risks to people had been assessed and staff understood how these should be minimised to keep them safe.

Incidents involving people were reported by staff for the provider to review and take appropriate action where required

There were enough staff to support people and the provider checked their suitability to do so. Staff followed good practice to reduce infection risks when providing personal care.

Effective

Good

Updated 20 November 2018

The service was good. The needs of people using the service had been assessed. Staff were trained to help them to meet these needs. Staff were supported in their role to continuously improve their working practices.

Staff worked closely with external health professionals involved in the person�s care and reported any concerns they had about the person so that appropriate support was sought when required.

People�s consent was sought before any support was provided to them. Staff were clear about their responsibilities in relation to the Mental Capacity Act 2005.

Caring

Good

Updated 20 November 2018

The service was good. People said staff were kind and caring.

People were supported by staff they were familiar with which helped to ensure continuity and consistency in the level of support they received.

Staff treated people with dignity and respect and people were supported to be as independent as they could be.

Responsive

Good

Updated 20 November 2018

The service was good. People contributed to planning their care and support needs. Their care plans set out how support should be provided. These were reviewed by the provider to ensure this was continuing to meet people�s needs.

The provider monitored that people received timely and responsive support from staff.

There were arrangements in place to deal with complaints should these arise.

Well-led

Good

Updated 20 November 2018

The service was good. People�s and staff�s views about the service were sought. These were used along with audits and checks to review and improve the quality of service people experienced.

The provider had aims and standards for the service, focussed on people experiencing good quality care and support. People and staff spoke positively about the provider and said they were accessible and supportive.

The provider made improvements when these were required to enhance the quality of the service. They also worked in partnership with others to continuously improve the delivery of care to people.