4319 Fountain Care Ltd is a domiciliary care agency rated Good across all five key questions at its October 2023 inspection, maintaining the same rating as its previous inspection in 2018. The service demonstrated strong person-centred care, effective governance and a positive learning culture, with only minor documentation gaps identified and promptly addressed.
Concerns (3)
minor
Care planning
: “one person's plan required more detail about supporting the person to avoid developing pressure sores. Another person's plan needed more information on to support the person in the event of an infrequent epilepsy seizure.”
minorRecord keeping: “we noted a factual error in one person's plan that had not been identified. The registered manager addressed this immediately.”
minorCommunication with families: “the provider called people to let them know if staff were running late, although this was not regularly.”
Strengths
· People and relatives consistently reported feeling safe and well-supported by kind, caring and competent staff.
· Personalised care and risk management plans were detailed and staff found them helpful in delivering person-centred care.
· Staff received regular training, supervision, competency checks and weekly team meetings to support continuous learning.
· Medicines administration records were completed correctly and audited regularly by senior staff and the registered manager.
· The service worked effectively in partnership with healthcare professionals including GPs, nurses and occupational therapists.
Quality-Statement breakdown (23)
safe: Assessing risk, safety monitoring and managementGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood