About the service Bloomsbury Homecare – Suffolk is a small domiciliary care service providing care to 14 people in their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive a regulated activity of personal care. This is help with tasks related to personal hygiene and eating.
People’s experience of using this service and what we found
People were supported by kind and caring staff who respected their privacy and dignity. Risks to people had been assessed and were managed safely. Staff had a good knowledge of people’s needs including any risks with their health and wellbeing.
People were supported by a care team who were safely recruited, received relevant training and knew how to protect them from potential harm.
People received their medicines as prescribed. Staff adhered to infection prevention and control procedures in line with legislative requirements and recognised best practice guidelines.
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 supported this practice.
The provider’s governance systems and regular audits had identified improvements were needed in the service to improve reliability, continuity of care and address inconsistences with the leadership and management of the service. Staffing personnel changes had impacted on the service people received, causing some disruption which had affected continuity of care, a missed visit and some later than planned visits. In response the provider had recently appointed a new manager and recruited additional care staff who were going through induction.
Improvements were needed to ensure an open and transparent culture in the service. People and relatives shared communication issues including language barriers and cultural understanding when they contacted the service. Not all staff felt supported and valued in their role, citing difficulties in speaking up and being heard by management.
The provider took immediate action to address this, making changes in their oversight arrangements to provide more visible support and utilising resources from their other services so feedback could be obtained without bias. We were encouraged by the actions being taken but this is a work in progress and too early to assess overall effectiveness.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 12 April 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.