A home care service in Hampshire will continue to be monitored by the CQC after being rated ‘Requires Improvement’ for a second year.
The news comes after Fairhaven Healthcare was found to be in breach of four regulations during an inspection in May.
The service, which provides personal care to be people living in Southampton, Eastleigh, Fareham and Gosport, has gone from bad to worse after being rated ‘Requires Improvement for four out of five inspection areas, apart from ‘caring’, which was rated ‘Good’.
At its previous inspection in April 2018, it was rated ‘Requires Improvement’ for being safe and well-led and ‘Good’ for being effective, caring and responsive.
Inspectors said in its latest report that people’s risk assessments did not always contain accurate or up to date information.
One person’s environment risk assessment was incomplete, for example, and another person’s medicines risk assessment was partially completed.
In 2018, the regulator found that medicines were not always managed safely, and this continued to be the case at the latest inspection.
Where people were prescribed their medicines on an ‘as required’ basis, such as pain relief or topical creams, the general manager confirmed there were no protocols in place to guide staff to know why, when or how this should be administered. This meant people were at risk of receiving or not receiving their medicines as prescribed, inspectors said.
Most staff received training in medicines to support them in their role, however two staff had not completed this.
Inspectors also found that legal requirements were not always met when it came to recruiting staff.
Two of the three staff record’s the CQC looked at identified the provider had failed to ensure it sought a full employment history, provide a written explanation for gaps in their employment history or sought information around their health and capabilities to fulfil their role.
Fairhaven Healthcare was also found to be in breach of the Mental Capacity Act 2005, which requires that, as far as possible, people make their own decisions and are helped to do so when needed.
Inspectors said that where clients had been assessed as lacking capacity in one or more areas, the provider failed to identify where decisions had been made or considered to be in people’s best interests.
The CQC also found that where people were identified by the general manager to be supported to make decisions by relatives through enduring or lasting power of attorney, copies of appropriate documentation was not in people’s care files.
However, following feedback, the general manager took “immediate action” to review MCA guidance, inspectors said.
Fairhaven Healthcare will continue to be monitored by the CQC until it can show it is compliant with fundamental standards in the regulations.