We carried out a review of the data available to us about Full Care Solutions Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Full Care Solutions Limited, you can give feedback on this service.
Full Care Solutions provides personal care for people living in their own homes. At the time of our inspection visit, 18 people were receiving personal care.
People's experience of using this service
There were enough staff to allocate all the visits people required. Risks to people’s health and wellbeing were identified and support plans provided staff with information about how to minimise the risk of harm. Staff understood their responsibility to keep people safe and report any concerns. Staff had received training in safe medicines management and people received all their prescribed medicines.
People were supported by well-trained staff who felt confident in their roles. People had 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. When staff had concerns about people's health or wellbeing, they ensured people received the medical care they required.
People and relatives were happy with the staff who visited them and described care staff as kind, friendly and polite. The care and support people received supported them to maintain independence and remain living at home. Staff felt motivated in their role because they felt valued and appreciated by the managers.
Care plans provided detailed guidance for staff about everything they needed to do on each visit and were responsive to people’s changing needs. People and relatives were confident if they had any concerns or worries, they would be listened to and action taken to address their concerns.
There was a friendly, open and supportive culture amongst the managers and staff team. Managers had a positive approach and used feedback to improve the quality of the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: Requires Improvement. (The last report was published on 11 December 2018). At this inspection we found the service had improved and the service is now rated as Good.
Why we inspected: This was a planned inspection based on the rating at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.
Full Care Solutions is registered to provide personal care to people in their own homes. Full Care Solutions is a domiciliary care agency and provides personal care to people living in their own homes. At the time of this inspection visit, 13 people received personal care.
There was a registered manager in post. 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 2008 and associated regulations about how the service is run.
This was the first inspection since registering with the Care Quality Commission. At this inspection we found people did not receive a service that was always safe or well led.
People did not always receive medicines that were important to them. The systems did not always allow for staff to administer the range of medicines that may be required. Staff did not feel confident that the online medicines training was sufficient to give them confidence to always administer medicines safely. Records did not provide an accurate depiction of what had taken place and what medicines had been administered.
Governance systems provided the registered manager with an overview of areas such as care records, medicine records and call times. However, actions were not always taken in a timely manner to address potential issues.
Staff felt they had access to training and were supervised and supported in their roles. Staff did not feel all training was sufficient to enable them to do their roles safely.
People felt safe using the service and staff understood how to protect people from abuse and harm. There were procedures to keep people safe and manage identified risks to people’s care.
People had detailed assessments of their health and social care needs before they used the service. Care plans contained detailed information to enable staff to provide people with the appropriate care and support for their needs. People’s care needs were regularly reviewed. The registered manager maintained contact with people, or their relatives, to check the care provided was what people needed and expected. People and their relatives told us staff were reliable and stayed for the time needed. People were treated with dignity and respect.
The provider’s recruitment process for new staff, included checks to ensure that they were suitable to support people who used the service.
People knew how to complain and there was a system to log and action any complaints or concerns that people had raised.
The principles of the Mental Capacity Act (MCA) were followed by staff. People’s decisions and choices were respected, and people felt involved in their care. People were supported to have choice and control of their lives and staff sought permission before assisting them.