Background to this inspection
Updated
18 April 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector and an Expert 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 homes.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
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 the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 15 March 2023 and ended on 4 April 2023. We visited the location’s office on 23 March 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records. This included 3 people’s care records, 3 staff files, and a variety of records relating to the management of the service.
We talked with 8 relatives and 6 people who used the service about their experience of care from this service. We spoke with the registered manager, the nominated individual, and 6 care workers.
The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Updated
18 April 2023
About the service
Bay Home Care is a domiciliary care service providing personal care to people in the community. The service provides support to both older and younger people, people with dementia, mental health needs, learning disabilities, and/or autism. At the time of our inspection there were 45 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. At the time of inspection 21 people received personal care.
People’s experience of using this service and what we found
Most people were happy with the support they received. They told us they felt safe with their support, and staff knew their needs well. There were some people who were not always happy with the times of their care, however they were happy with the care workers supporting them.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support:
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. Support was delivered in people’s own private homes.
Right Care:
The care was person-centred, dignified, and promoted individuals’ human rights. People had different interests and activities and their care was designed to their own personal needs.
Right Culture:
The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive, and empowered lives. Relatives told us that they are happy with the support their relative receives and they are happy with Bay Home Care
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 15 November 2017).
Why we inspected
We undertook this focused inspection as part of a random selection of services rated Good and Outstanding to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bay Home Care on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.