B & S Healthcare Limited

Updated 24 October 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a planned comprehensive inspection that took place on 26 and 27 September 2018 and was announced. We gave the registered manager 48 hours’ notice because the location provides a domiciliary care service. We needed to be sure that they would be in the office. At the time of our inspection, personal care was being provided to 53 people.

One adult social care inspector carried out the inspection.

Before we visited the service, we checked the information we held about the location, for example, inspection history and statutory notifications. A notification is information about significant events which the service is required to send to the Commission by law.

We used information we received in the Provider Information Return. This is information we require from the provider at least once each year. It gives key information about the service, what they do well and improvements they plan to make. We also considered the responses to questionnaires we sent to people.

During our inspection we spoke with 12 people who used the service or their relatives. We spoke with the registered manager and seven members of staff. We looked at four people’s care records. We checked staff recruitment, supervision and training records and records relating to the monitoring and management of the service.

Updated 24 October 2018

B & S Healthcare Limited is a domiciliary care service. It provides personal care mainly to older people living in their own homes in the Bristol area. Not everyone using B & S Healthcare Limited receives a regulated activity. CQC only inspects the service being received by people provided with personal care. This is help with tasks related to personal hygiene and eating. Where they do that we also take into account any wider social care provided.

The inspection took place on 26 and 27 September 2018 and was announced. This meant the provider knew we would be visiting.

At our last inspection, in July 2016, we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Why the service is rated Good.

People felt safe with the staff who supported them. They were protected from avoidable harm. Staff received training and understood how to recognise abuse and who to report to if abuse was suspected.

Staffing levels were sufficient to provide safe care and recruitment checks ensured unsuitable staff were not employed. Staff were suitable trained and received regular supervisions and appraisals.

People received the support they needed with medicines. A review of medicines management was taking place at the time of our inspection. This showed the registered manager took opportunities to make improvements to the service people received.

Accidents, incidents and falls were recorded. Actions were taken to reduce recurrence.

People were supported to have maximum choice and control of their lives and the policies and systems in the service together with staff understanding, supported this practice.

Appropriate health and safety checks were carried out.

Staff were aware of people’s nutritional needs and people received the support they needed with food and fluids.

People using the service and relatives were complimentary about the service. They told us staff were kind, caring and respectful. Staff helped people to maintain independence.

People’s needs were assessed before they started to use the service. Care plans were written in a personalised way, taking into account people’s individual needs, wishes and choices.

A complaints procedure was in place and people told us they knew how to make a compliant.

People who used the service and their relatives were consulted about the quality of the service.