We carried out a review of the data available to us about Bushey House Beaumont DCA on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Bushey House Beaumont DCA, you can give feedback on this service.
At our last inspection we rated the service Good. At this announced inspection we found the evidence continued to support the rating of good. 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. However, our rating for the question ‘is the service has well-led’ has deteriorated to Requires Improvement.
There was no registered manager in post at the time of this inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A new manager had been appointed but they had yet to apply to the CQC for registration as the manager.
Audit and governance systems were in place but not effectively operated to identify and drive forward any improvements required. Staff had not been consistently supported by an effective management team. People were aware of how to make a complaint or raise a concern, however some of these had not been responded to promptly.
People were supported by staff who knew how to keep people safe from harm. Risk assessments were in place to enable staff to safely support and monitor people’s health and welfare.
Sufficient numbers of staff were deployed to ensure people’s needs were met. Staff had been recruited safely prior to working at the service. People’s medicines were administered as prescribed and managed safely. Systems were in place to maintain infection prevention and control.
Staff were trained to meet people’s care and support needs. People were supported with their eating and drinking to promote their well-being. Staff supported people to access external healthcare services. Staff worked with other organisations to help ensure that people's care was coordinated.
People received a caring service by staff who knew them well. People’s privacy and dignity was maintained by staff. People were involved in their care decisions and staff promoted people’s independence as far as practicable. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.
Peoples records were well maintained and updated when required. Notifications required to be made about significant events were submitted when required.
The inspection took place on the 15 December 2015 and was unannounced. Bushey House Beaumont DCA is a domiciliary care organisation. It is registered to provide personal care for older people in their own homes. People who use the service live in flats within the grounds of Bushey House Beaumont care home and the DCA provides care services for people who live in the accommodation. At the time of our inspection five people were being supported by the service.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People received care that met their needs and staff knew them well. People were involved in planning their care and the manager and staff valued their views.
People were looked after by staff who had been trained and were able to recognise any signs of abuse and knew how to report concerns. There were sufficient numbers of staff to meet people’s needs safely at all times.
People were encouraged and supported to live as independently as they could. Risk to people`s health, safety and wellbeing were identified and actions were put in place to manage and mitigate the risks to keep people safe.
Staff had been recruited through a robust recruitment procedure to ensure that staff who were employed were suitable to work in a care setting. Staff employed at the service had completed an induction when they commenced working at the agency and had received ongoing and refresher training relevant to their roles.
People administered their own medicines. However if required, staff prompted or reminded people to take their medicines. Staff had received appropriately training, so were able to administer medicines if this was an assessed need.
People told us they felt they were treated in a caring way and with kindness. People’s privacy and dignity was respected by staff. People were supported to maintain their health and wellbeing.
Staff were aware that they had to obtain peoples consent before assisting them. This was recorded in people’s care and support plans.
The provider had a policy and process for dealing with complaints and concerns. Audits were in place and the manager checked the quality of the service by requesting feedback through surveys and questionnaires which people were asked to complete periodically.
People we spoke with were all happy with the service they had received. One person we spoke with said 'it's so nice here' and 'staff sit and have a cup of tea with me in my flat, which is very nice'. We saw that care plans were person centred and held details on how people wanted to be supported and at what time they wanted to be supported.
Staff we spoke with were very complementary about the training they had received. We saw evidence that staff had all received regular supervision and an annual appraisal. Minutes from staff meetings showed that staff were kept informed on changes that affected the agency.
The agency had a complaints policy and procedure in place and people were all provided with a copy. People we spoke with told us that they had been very happy with the service and had not had any reasons to complain.
We saw that records were regularly reviewed and updates and were securely stored. We saw that records kept by the agency were stored in a way that allowed them to be accessed quickly.
When asked if they felt involved in their care, a person said, 'Yes. If there's anything worrying me they're always happy [to help].'