Faith's Walk Healthcare Services Ltd

Updated 4 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

Our inspection was completed by two inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post. The registered manager was also one of the providers.

Notice of inspection

We gave the service 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.

Inspection activity started on 29 September 2022 and ended on 13 October 2022. We visited the location’s office on 29 September 2022.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 2 March 2022 to help plan the inspection and inform our judgements.

During the inspection

We called and spoke with six relatives of people who used the service about their experience of the care provided. At the office we spoke with both providers (one of whom was the registered manager). We called and spoke with four members of staff.

We reviewed a range of records including five people's care plans, daily care notes, staff rotas, multiple medication records, safeguarding records and complaints. We reviewed a variety of records relating to the management of the service including six staff recruitment files and spot checks.

Updated 4 November 2022

About the service

Faith's Walk Healthcare Services Ltd provides personal care and support to older people and people with disabilities living in their own homes. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. At the time of our inspection all 11 people received personal care.

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

The provider failed to ensure the process for recruiting staff was robust. There were elements to the management and oversight of the service that required improvements.

People told us they had not had a missed call and we found that there were appropriate numbers of staff to cover the calls. Risks associated with people’s care were managed well that included good infection control and the management of medicines.

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 and relatives told us that staff were kind, caring and respectful towards them. People were supported and encouraged to remain as independent as possible and were involved in decisions around their care. Care plans were planned around people’s needs. Staff were knowledgeable about the needs of people and their backgrounds.

There was a system in place to assess the quality of care provided. People and relatives knew how to complain and were confident that complaints would be listened to and addressed. People, relatives and staff thought the leadership of the service was robust and effective.

Rating at last inspection

This service was registered with us on 20 May 2021 and this is the first inspection.

Why we inspected

We undertook this inspection as part of our inspection scheduling for newly registered services.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified a breach in relation to the lack of robust recruitment of staff at this inspection.

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 from the provider to understand what they will do to improve the standards. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.