Livestreaming has become increasingly prevalent in modern visual communication, where automatic camera quality tuning is essential for delivering superior user Quality of Experience (QoE). Such tuning requires accurate blind image quality assessment (BIQA) to guide parameter optimization decisions. Unfortunately, the existing BIQA models typically only predict an overall coarse-grained quality score, which cannot provide fine-grained perceptual guidance for precise camera parameter tuning. To bridge this gap, we first establish $\textbf{FGLive-10K}$, a comprehensive fine-grained BIQA database containing 10,185 high-resolution images captured under varying camera parameter configurations across diverse livestreaming scenarios. The dataset features 50,925 multi-attribute quality annotations and 19,234 fine-grained pairwise preference annotations. Based on FGLive-10K, we further develop $\textbf{TuningIQA}$, a fine-grained BIQA metric for livestreaming camera tuning, which integrates human-aware feature extraction and graph-based camera parameter fusion. Extensive experiments and comparisons demonstrate that TuningIQA significantly outperforms state-of-the-art BIQA methods in both score regression and fine-grained quality ranking, achieving superior performance when deployed for livestreaming camera tuning.