Bumade Healthcare Services Ltd

Bumade Healthcare Services Ltd is a domiciliary service providing personal care to people in their own homes who required support due to needs relating to their age or living with a physical disability. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of our inspection, there were 23 people receiving support with their personal care.

People’s experience of using this service and what we found

Records relating to risks to people were not always comprehensive or updated following a change in people’s needs or after a review.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Mental capacity assessments had not been completed and records relating to people’s capacity for specific decisions did not contain details of what the decision was or how this determination was made.

Feedback about staff was mainly positive, however people and their relatives told us improvements were needed to communication between staff and people being supported.

People being supported with care at the end of their life did not have any care plan or record to ensure consideration was to be given to people’s preferences, which would assist staff to provide care in a personal way.

Not everyone we spoke with was able to tell us who the manager of the service was and not all described the service as well led.

People were protected from the risk of abuse by staff who could identify potential abuse and knew how to report this. Safeguarding alerts had been raised appropriately and relevant professionals consulted when required.

Staff had been recruited safely and were provided with training. Staff treated people in a kind and considerate way.

The provider and wider staff teams recorded any accidents, incidents or near misses and these were shared via a communication platform and in staff meetings to discuss, investigate and identify learning to ensure the risk of reoccurrence was minimised.

People’s needs had been assessed before starting with the service and were reviewed. Care plans contained personal information such as likes and dislikes, personal preferred routines and hobbies and interests.

Staff were described as ‘Excellent,’ ‘Caring’ and ‘trustworthy’ who encouraged people to maximise their independence and supported people in a private and dignified way.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 8 February 2022, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to record keeping and assessments relating to people's ability in making decision at this inspection.

We have made a recommendation about communication between staff and people receiving support, end of life wishes and preferences and utilising tools within care planning system.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.