25 June 2019
During a routine inspection
Fenns Home Management & Support Services is a domiciliary care 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 inspection nine people were receiving personal care.
People’s experience of using this service and what we found
Assessments had been conducted prior to people receiving a service to ensure their needs could be met, however these were not always recorded.
There were no established systems to audit and monitor the quality of the service. A lack of audits meant the provider had failed to identify areas of concerns we found at inspection.
Risk assessments were not always completed to minimise the risks to people. Where risk assessments had been completed, the action taken to minimise the risks were not always recorded. Recruitment checks were not robust. We made a recommendation regarding recruitment and risk assessments.
People were happy with the support they received with their medication, however medication records were not always clear.
Some staff mandatory training had expired. Staff told us they received induction and supervision, however these were not always recorded. We made a recommendation regarding induction and ongoing training and supervision of staff.
People told us they were supported by a consistent staff team, who were kind and caring. People were treated with respect. People were happy with the support they received with the meals. Staff supported people with their health needs where required.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People told us they made their own choices regarding the care they received.
People were happy with the care they received. People who received a service and staff were consistently positive about the registered manager.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: This service was registered with us on 12 February 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on the services registration date.
Enforcement
We have identified breaches in relation to governance of the service. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.