Fame 24hour Care Limited

Where they do receive personal care, we also consider any wider social care provided. At the time of inspection there were 19 people who used the service of which 14 people received personal care.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and provides must have regard to it.

At the time of the inspection, Fame 24 Hour Care Limited provided support with social inclusion for some people with a learning disability and /or autistic people, but did not provide them with personal care. However, we assessed the care provision under right support, right care, right culture, as it registered as a specialist service for this population group.

The provider was not able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. We signposted the provider to relevant information.

People’s experience of using this service and what we found

We have made a recommendation the provider fully assesses the care and support provision at Fame 24 Hour Care Limited to embed the principles of right support, right care, right culture.

Right Support: : Model of Care and setting that maximises people's choice, control and independence did not always support people to have maximum choice and control of their lives. There was mixed feedback when it came to social inclusion arrangements. Staff turnover affected consistency and changes to agreed support arrangements were not always communicated in a timely manner which impacted on people’s daily routines.

Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care: : Care was person-centred and promoted people's dignity, privacy and human rights.

Right Culture: Improvements were needed to ensure the ethos, values, attitudes and behaviours of management and staff ensured people using services lead confident, inclusive and empowered lives.

Systems to monitor the quality and safety of the service were not wholly effective. The provider had not identified the inconsistencies we found during the inspection. Improvements were needed to the overall governance and oversight arrangements of Fame 24 Hour Care Limited. We have made a recommendation in this area.

Systems and processes to safeguard people from the risk of abuse were not robust. Not all safeguarding concerns had been escalated properly to CQC. Whilst action to protect people had been taken and risk mitigated the provider was not fully aware of their regulatory responsibilities regarding notifications.

There was mixed feedback regarding communication from the service and with raising a concern.

A high turnover of staff had impacted at times on the continuity of care. People shared that they did not always receive their care and support visits at the times they expected and from staff they knew. Where changes occurred, these were not always communicated in a timely manner.

The majority of feedback from people and their relatives about their experience with Fame 24 Hour Care Limited was positive and they were satisfied with their care arrangements and would recommend the service. Where personal care was provided people said this met their needs, they were treated with respect, consent was sought and they were complimentary about the approach of staff.

Risks to people had been assessed and were managed safely. People's care records were re-assessed regularly and guided staff on how to assist people safely and encourage their independence. Staff confirmed the care records they had access to were accurate. However, some people and relatives said the versions they could access were out of date.

People were supported by a staff team who were safely recruited. Staff received an induction and ongoing training, felt supported and valued in their role by the management team.

People received their medication as prescribed and staff adhered to infection prevention and control procedures in line with legislative requirements and recognised best practice guidelines.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was registered with us on 8 January 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service , which will help inform when we next inspect.