# FACT Healthcare Ltd

FACT Healthcare Ltd is a CQC-regulated home-care agency in Tipton.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 20/06/2017

## Practical info

- Postcode: DY4 9DD
- Registered manager: Chitura, Mariah
- Local authority: Sandwell
- Region: West Midlands
- City: Tipton
- Last CQC check: 20/Jun/2017 - 00:00

## Inspection findings

### caring

- Finding
  - Involvement in decisions and promoting independence
  - Published: 2020-01-29
- Finding
  - Dignity, respect and person-centred approach
  - Published: 2020-01-29

### effective

- Finding
  - Nutrition and healthcare access
  - Published: 2020-01-29
- Finding
  - Mental Capacity Act compliance
  - Published: 2020-01-29
- Finding
  - Staff induction, training and supervision
  - Published: 2020-01-29

### Other

- Finding
  - Evidence: Provision of care was flexible and responsive to changing needs
  - Published: 2020-01-29
- Finding
  - Evidence: Regular audits and quality reviews were undertaken to monitor service effectiveness
  - Published: 2020-01-29
- Finding
  - Evidence: Registered manager was accessible, proactive and well regarded by staff, people and relatives
  - Published: 2020-01-29
- Finding
  - Evidence: Cultural and diverse needs were considered during initial assessment
  - Published: 2020-01-29
- Finding
  - Evidence: Care plans were individualised, written in people's own words and regularly reviewed
  - Published: 2020-01-29
- Finding
  - Evidence: Care was person-centred, dignified and respectful, with people involved in decision-making
  - Published: 2020-01-29
- Finding
  - Evidence: People's consent was sought before care was provided, in line with MCA principles
  - Published: 2020-01-29
- Finding
  - Evidence: Care staff demonstrated good knowledge of safeguarding procedures and whistleblowing policy
  - Published: 2020-01-29
- Finding
  - Evidence: Consistent care staff allocation gave people continuity and familiarity with their individual needs
  - Published: 2020-01-29
- Finding
  - Evidence: People felt safe with care staff and risks were clearly assessed and documented in care records
  - Published: 2020-01-29
- **governance** _(moderate)_
  - Evidence: the providers systems in terms of record keeping in relation to recruitment and completion of a comprehensive induction were not robust
  - Published: 2020-01-29
- **record_keeping** _(moderate)_
  - Evidence: records provided to care staff to show their understanding and completion of the care certificate were lacking
  - Published: 2020-01-29
- **record_keeping** _(moderate)_
  - Evidence: in three of the five staff files we found both gaps in their employment history or a lack of a full employment history
  - Published: 2020-01-29

### responsive

- Finding
  - Cultural and diverse needs
  - Published: 2020-01-29
- Finding
  - Complaints handling
  - Published: 2020-01-29
- Finding
  - Personalised care planning
  - Published: 2020-01-29

### safe

- Finding
  - Recruitment practices
  - Published: 2020-01-29
- Finding
  - Staffing levels and consistency
  - Published: 2020-01-29
- Finding
  - Safeguarding and risk assessment
  - Published: 2020-01-29

### well_led

- Finding
  - Quality monitoring and audits
  - Published: 2020-01-29
- Finding
  - Leadership, culture and continuous improvement
  - Published: 2020-01-29
- Finding
  - Record keeping and governance systems
  - Published: 2020-01-29

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1984345064

HomeCare Compass is an independent guide and is not affiliated with the CQC.