Background to this inspection
Updated
13 July 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 inspection was carried out by one inspector and a bank inspector. A bank inspector is a person employed by us to assist in the inspection process. The bank inspector gathered information by speaking with 11 people who used the service, six relatives and four staff.
We did not ask the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We used a number of different methods to help us understand the experiences of people who used the service. We looked at documents and records that related to four people’s support and care, three Staff files and the management of the service. We spoke with the registered manager manager who has is also one of the providers.
Updated
13 July 2015
This inspection took place on 4 June 2015. This was an announced inspection which meant the provider knew two days before we would be visiting. This was because the location provides personal care to adults who live in their own home. We wanted to make sure the registered manager would be available to support our inspection, or someone who could act on their behalf.
BGS Healthcare has been operating since August 2014. At the time of this inspection there were 60 people receiving the service.
There was a registered manager in post at the service at the time of our 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.
The registered manager was accessible and approachable. Staff, people who used the service and
relatives felt able to speak with her and provided feedback on the service.
We saw records to show formal complaints relating to the service had been dealt with effectively.
Staff were knowledgeable of people’s preferences and care needs. People told us they had regular staff who provided them with the care and support they needed and expected.
Staff explained the importance of supporting people to make choices about their daily lives. Where necessary, staff contacted health and social care professionals for guidance and support.
People told us staff members’ approach to them was “compassionate and kind.”
Each person had a care plan that outlined their needs and the support required. People were supported in a range of interests which suited their wishes, this included accessing their local community.
Staff had received regular training in mandatory subjects. The service employed a person to provide face to face training to staff for the majority of subjects such as moving and handling.The registered manager said the effectiveness of training was monitored through the supervision and if necessary disciplinary processes.
Each of the four staff we spoke with said they “felt supported.” However records of spot checks and supervision had not been made. This meant there was no way of monitoring staff progress or highlighting any performance issues or good practice. We discussed this with the registered manager, who said they would address this immediately.
All staff were clear about how to report any concerns they had. Staff were confident that any concerns raised would be fully investigated to ensure people were protected. The majority of staff were knowledgeable about the requirements of the Mental Capacity Act 2005.