CQC report explained · a residential care home
What the CQC found at Home Based Support Service
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risk assessments covered areas such as moving, hoists and slings. Medicines were locked, administered by trained staff and recorded as given.
- Effective?
- Good
- Staff received induction, ongoing training and checks of their practical skills. Staff understood people's nutrition, feeding and specialist health needs.
- Caring?
- Good
- Relatives described staff as compassionate and caring. Staff respected privacy and dignity, encouraged independence and provided consistent support.
- Responsive?
- Good
- Care plans reflected people's routines, preferences, communication and changing needs. People were supported to take part in activities that interested them, and relatives knew how to raise concerns.
- Well-led?
- Good
- The manager was described as approachable and staff received support, meetings and competency checks. Audits covered care plans, medicines and health and safety, with action taken when issues were found.
What inspectors found, March 2019
Fairplay - Home Based Support Service was rated Good; inspectors found safe, caring and personalised support across all five areas.
This was a planned inspection. One inspector visited the office on 24 January 2019 and reviewed care records, policies, staff files, complaints and training records. Inspection activity continued until 11 February 2019. The inspector also spoke with relatives, staff, the manager and a community nurse.
The home supported up to two people with overnight respite care and provided home care for children and younger adults up to age 25. At the inspection, 15 people were receiving personal care. People had complex needs, so inspectors observed staff and spoke with relatives because people could not share their views directly.
Inspectors found that people were safe and supported by staff who knew them well. Medicines, moving and handling, infection control, staff training and care planning were managed well. People received personalised support, took part in activities they enjoyed and had regular staff.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection had also rated the service Good, and inspectors said there was no evidence of serious risks or concerns.
Consistent staff
People had small teams of regular staff who knew their needs and routines. Relatives said this helped them feel confident about the care.
“Each person who had a small team of staff who provided their care.” from the report
Safe medicines support
Medicines were stored securely and given by trained staff. Records were complete and up to date, including for medicines given through feeding tubes.
“The medicines administration records were signed and up to date, which showed people's medicines were administered in accordance with how they were prescribed.” from the report
Personalised care
Care plans included people's preferred names, histories, hobbies and preferences. Staff understood how people communicated and supported them to remain as independent as possible.
“People's care plans contained information about their identified needs, preferred name, their history, hobbies, preferences and how they wished their care and support to be delivered.” from the report
Meaningful activities
People were supported to go shopping, visit places of interest and take part in activities they enjoyed, both during respite and at home.
“People chose how to spend their time and were involved in a range of activities according to their interests.” from the report
Quality checks
The manager carried out checks on care plans, medicines and health and safety. Improvements were monitored when concerns were identified.
“There were systems in place to monitor the quality of the service and audits were undertaken by the registered manager.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you keep my relative's staff team consistent, and what would happen if a regular member of staff could not attend?
- 02What training and competency checks do staff complete for feeding tubes, specialist nutrition, epilepsy and rescue medicines?
- 03How often would you review my relative's care plan, risk assessments and communication needs if their condition changed?
- 04Which rooms, beds, hoists and other equipment would be available during overnight respite, and how would these be matched to my relative's assessed needs?
- 05How would you involve our family in reviews, feedback and any complaint about the care?
This was a planned inspection covering all five CQC questions, but CQC only inspected personal care and did not regulate sibling support or activities where personal care was not provided. This explanation was written from the published report of 7 March 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Home Based Support Service
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 16 May 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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62 live-in carers within about an hour of Derbyshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.