BMM Care Ltd

Updated 3 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector and two Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

Inspection activity started on 18 July 2019 and ended on 19 July 2019. We visited the office location and spoke to some staff on 18 July 2019. On 19 July 2019 we spoke with people, relatives and some more staff.

What we did before the inspection

Before the inspection we looked at information that we had received about the service and formal notifications that the service had sent to CQC. Due to technical problems, the provider was not able to complete a Provider Information Return (PIR). However, following the inspection, the provider was able to submit a completed PIR. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with 11 people who used the service and 14 relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, recruitment manager and seven care workers.

We reviewed a range of records. This included nine people’s care records and five people’s medication records. We looked at five staff files in relation to recruitment and staff supervision. We also reviewed records relating to the management of the service, including quality assurance records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and staff rotas.

Updated 3 August 2019

About the service

BMM Care Ltd is a domiciliary care agency providing the regulated activity of personal care to people living in their own home. At the time of the inspection there were 49 people using the service.

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.

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

People and their relatives told us that they were mostly happy with the service that they received. However, we were told that timekeeping and attendance of regular care staff especially at the weekends could be further improved.

People and their relatives felt generally safe and re-assured with the support that they received from their allocated care staff. Staff knew how to recognise potential signs of abuse and explained the steps they would take to report their concerns.

Risk assessments in place described risks associated with people’s health and care needs, and gave clear directions to care staff on how to support people with those risks to keep them safe and free from harm.

Safe medicines management and administration processes in place ensured people received their medicines as prescribed and on time.

The service ensured only those staff assessed as safe to work with vulnerable adults were recruited.

Staff received regularly training and support to enable them to carry out their role effectively.

People were supported to eat and drink where this was an assessed need. People’s individual needs and preferences around the support they required were clearly documented.

The service worked with other health care professionals, where required, to ensure people’s health and medical needs were met.

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.

People told us that they were treated with dignity and respect. People and their relatives knew who to speak if they had a complaint to raise.

We have made a recommendation in relation to planning for end of life care.

Management oversight systems in place assisted the registered manager in monitoring the service people received so that where issues were identified appropriate actions could be taken to improve people's experiences.

Rating at last inspection

The last rating for this service was requires improvement (13 June 2018). We found breaches of Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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