Archived: FitzRoy Support at Home - Hampshire

Updated 31 May 2019

The inspection:

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.

Inspection team:

The inspection was conducted by one adult social care inspector.

Service and service type:

Fitzroy Support at Home – Hampshire provides care and support to people living in ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

This service also provides personal care to people living in their own houses and flats in the community. Not everyone using Fitzroy Support at Home received a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.

The service had two registered managers, one with responsibility for the supported living aspect of the service and the other responsible for the care provided to people in their own homes in the community. A registered manager is a person who has registered with the CQC 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.

Notice of inspection:

We gave the service 5 days’ notice of the inspection site visits because some of the people using the service were living with autism and would need time to prepare for a visit to be arranged. We also needed to be sure the managers and staff would be available to talk with us.

Inspection activity took place between 12 April 2019 and 24 April 2019. We visited the office location on both the 12 April 2019 and 18 April 2019 to see the registered managers and office staff; and to review care records and policies and procedures.

What we did:

Before the inspection, we reviewed information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We also considered information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we gathered information from:

Four people who we visited in their own homes

Four relatives of people who used the service

Seven people’s care records

Records of accidents, incidents and complaints

Audits and quality assurance reports

The two registered managers

A deputy manager

Seven support staff

A co-ordinator

Updated 31 May 2019

About the service:

Fitzroy Support at Home provides care and support to people living in four ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people’s personal care and support. At the time of our inspection there were eight people using the supported living side of the service who received personal care.

This service is also a domiciliary care agency (DCA). It provides personal care to people living in their own houses and flats in the community. It provides a service to adults with learning disabilities, sensory impairment and physical disabilities and/or autistic spectrum disorder in and around Basingstoke. At the time of our inspection there were 14 people using the DCA side of the service who received personal care.

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

People’s experience of using this service:

People told us they felt safe, and appropriate systems were in place to protect people from the risk of abuse.

There were enough staff to meet people’s needs. The provider had effective systems in place to ensure safe recruitment practices.

People’s needs were met in a personalised way by staff who were competent, kind and caring. Staff respected people’s privacy and protected their dignity.

Individual and environmental risks were managed appropriately.

People’s rights and freedoms were upheld. When appropriate staff acted in the best interests of the people they supported.

People were empowered to make their own choices and decisions. They were involved in the development of their personalised care plans.

People felt listened to and knew how to raise concerns.

Management processes were in place to monitor and improve the quality of the service. There was a positive, open and empowering culture.

Rating at last inspection:

The service was rated as requires improvement at the last comprehensive inspection, the report was published on 13 April 2018. We identified four breaches of the regulations. After the last inspection the provider sent us an action plan to tell us how they would address the areas we raised on inspection. At this inspection we found the provider had taken action and the service was no longer in breach of the regulations.

Why we inspected:

This was a planned, announced comprehensive inspection as part of our inspection schedule methodology for services.

Follow up:

We will continue to monitor the intelligence we receive about this service and plan to inspect in line with our re-inspection schedule for those services rated as Good.