Archived: FCNA Homecare

Updated 25 January 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 checked 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.

This inspection took place on 28 November 2017 and was announced. We gave the service 24 hours’ notice of the inspection visit because we needed to be sure that the registered manager would be available to facilitate the inspection.

The inspection was carried out by one adult social care inspector.

Prior to the inspection we reviewed information we had received from the service. For example notifications, safeguarding referrals and the last inspection report. We also received a provider information return (PIR) from the provider. This form asks the provider to give us some key information about what the service does well and any improvements they plan to make. We also contacted the local authority commissioners, the local authority safeguarding team and the clinical commission group (CCG) and two healthcare professionals who had placed people with the service. No concerns were raised.

We looked at two care files, two staff personnel files, training records, staff supervision records, meeting minutes and audits.

Updated 25 January 2018

FCNA Homecare (FCNA) is a domiciliary care agency. The service operates from an office in domestic premises. The inspection took place on 28 November 2017 and was announced.

FCNA provides personal care and support to people living in their own houses. At the time of the inspection FCNA was providing a service to 12 adults.

We last inspected this service on 13 August 2015. The overall rating was Good.

There was a registered manager at the service. 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 and associated Regulations about how the service is run.

Systems were in place to ensure staff were safely recruited. Staff demonstrated a commitment to providing high quality personalised care for the individuals who accessed the service.

Robust systems were in place to ensure the safe handling of medicines. People were supported to take responsibility for their own medicines whenever possible.

Staff told us they received the training and supervision they needed to be able to carry out their roles effectively.

The induction programme was thorough and training was on-going. We saw evidence of close partnership working with other agencies and appropriate referrals were made as required.

We saw staff received regular supervision and annual appraisals. There were regular team meetings and copies of the minutes were available.

The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA).

People who used the service told us the staff were kind and caring. People were involved in care planning and reviews.

The service had a service user guide which provided information about the service the agency offered.

People we spoke with told us the service was flexible and responsive. Staff worked around appointments people may have to attend.

Care records were person-centred and care files we looked at evidenced people’s choice and preferences.

There was a complaints policy in place. The service had received no complaints within the last 12 months.

The service undertook a number of regular audits, including satisfaction questionnaires.

Action plans were produced and progress monitored to help ensure continual improvement.