5 December 2018
During a routine inspection
Fairview Resources Ltd is a domiciliary care agency. It provides personal care to older people living in their own houses and flats in the community. Not everyone using this service receives the regulated activity; The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
On this inspection we were unable to provide the service with a rating. This is because the service had not been providing care and support to enough people over a long enough time period for us to review.
The service did have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they 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.
People told us the service did not always provide their care visits on time. The registered manager was in the process of launching an electronic staffing rota and monitoring system which should help ensure visits were on time and for the appropriate length of time.
Safeguarding systems were in place and safeguarding investigations were completed when required.
Recruitment procedures were in place and measures were in place to ensure people were supported by appropriate staff.
Risk assessments were in use however they did not always clearly show what action was required to reduce the known risks to people.
Systems were in place to support people with their medicines however at the time of the inspection nobody was receiving this support.
Systems were in place to implement infection control practices however we received mixed feedback from people about whether staff always followed these practices.
Incidents and accidents were recorded and the registered manager was keen to learn and share good practice.
Further work was required to ensure people with mental capacity assessments clearly had specific decisions recorded about their care.
Staff received an induction and the registered manager planned to enable staff to complete the Care Certificate. Training was focussed on the needs and potential needs of people using the service.
The registered manager understood the requirement to provide supervision to staff about their performance but at the time of inspection, had not done so as staff had not been in their roles for a long period of time.
At the time of inspection, people did not require support to manage their nutritional needs however staff had a good understanding of this in the event it would be required in the future.
Staff worked with people and their families to ensure people’s healthcare needs were met effectively.
People told us the staff were nice. Staff worked to understand people’s needs.
Plans were in place to ensure people and their relatives were involved in reviewing people’s care.
People were asked about their cultural practices and beliefs in order for staff to offer support.
People were supported to maintain their dignity and staff took action to protect this.
Staff showed compassion and had caring attitudes towards the people they supported.
People had care plans in place however they did not always fully reflect people’s care needs
Systems were in place to review care plans however at the time of inspection, nobody had been using the service long enough for a review.
People knew who the registered manager was and gave mixed feedback about whether they resolved issues effectively, particularly around the timeliness and consistency of staff.
Systems were in place for people to provide their feedback however at the time of inspection, this had not been utilised by people using the service.