Background to this inspection
Updated
18 May 2021
The inspection
This was a targeted inspection to check on specific concerns we had from our previous inspection.
Inspection team
The inspection was completed by two inspectors. The site visit was completed by one inspector.
Service and service type
Fuchsia Homecare provides personal care and support for people in their own homes.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service over 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We reviewed information we requested from the provider to show the improvements they had made where a breach had been identified at the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three relatives about their experience of the care provided. We also spoke with six staff including the registered manager.
We reviewed a range of records. This included two people’s care records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the registered manager to validate evidence we found.
Updated
18 May 2021
About the service
Fuchsia Homecare provides personal care and support for people in their own homes. At the time of our inspection there were 52 people using the service.
People’s experience of using this service and what we found
There had been good improvements made since our last inspection. People, relatives and the staff team were positive about their experiences at the service.
At our last inspection we found the provider to be in breach of regulation 17 of the Health and Social Care Act (2008). Due to the improvements made since the last inspection the provider was no longer in breach of this regulation.
People’s experience of using this service and what we found
The provider had policies and procedures to ensure people were kept safe. The registered manager understood safeguarding and the importance of reporting any concerns. However, we found that although improvements had been made there was further improvement required. The registered manager addressed this with an action plan that was implemented immediately.
Quality assurance audits were completed. Where issues were identified these were reviewed and action plans completed to ensure improvements were made. The provider had a system in place to respond to complaints and this was monitored by the registered manager.
People told us they felt safe and were happy with the care and support they received. Peoples care plans contained information about their care needs and provided good guidance for staff. Risk assessments were appropriate and were reviewed regularly and when required. Peoples cultural needs were respected, and communication was available in many forms that included easy read, preferred language and braille.
Staff received regular training which included infection control, and understood how to keep people safe and the importance of reporting any concerns. Staff understood their roles and felt supported by 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
The last rating for this service was requires improvement (published 12 December 2019).
Why we inspected
This was a planned inspection based on the previous rating.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.