Background to this inspection
Updated
18 January 2024
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
Bush & Company Rehabilitation Limited is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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
The inspection was announced. We gave 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before 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. The provider was asked to complete a Provider Information Return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 3 people who used the service and 9 relatives to ask about their experience of the care provided.
We spoke with 9 members of staff including the registered manager, clinical lead, recruitment and training staff, 3 care managers and 2 care staff. We contacted 5 care staff and asked them to complete a survey, we received a response from 3 care staff.
We reviewed a range of records. This included 6 people's care records, multiple medicine records, audits, accident and incident records and 4 staff recruitment files.
Updated
18 January 2024
About the service
Bush and Company Rehabilitation Limited provide a bespoke case management service for people who have experienced catastrophic life changing injuries, supporting individuals and their families by providing access to the services and support they need. At the time of our inspection there were 18 children and 20 adults receiving personal care from individual teams of staff managed by the service.
People’s experience of using this service and what we found
The provider had systems to assess, monitor and improve the safety and the quality of the service.
The provider used information from safeguarding incidents, complaints and accidents to learn and prevent reoccurrences.
People received food and drink that met their needs and preferences. People received their prescribed medicines.
People’s risks were assessed, and staff had the information they required to mitigate theses known risks. People’s risk assessments and care plans were reviewed regularly or as their needs changed.
The provider supported people to employ their staff teams to match their family culture and lifestyles. They followed safe recruitment practices to ensure staff were of good character. Staff received induction, training and supervision to carry out their roles and meet people’s specific needs. Staff training was adapted to meet staff training needs.
People were protected from harm and abuse as staff received training in safeguarding. The provider reported and investigated concerns.
Staff identified when people were unwell and referred them to healthcare professionals promptly. People were supported to co-ordinate and access healthcare appointments when they needed them.
People were cared for by staff that knew them well, who knew their needs and preferences. People’s privacy and dignity was respected, and people were supported to be independent. People and their relatives were involved in their care planning and reviews.
People and relatives knew how to make a formal complaint. The provider’s complaints policy had been followed and complaints had been resolved.
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.
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 inspection was rated good, published 6 May 2016.
Why we inspected
This inspection was prompted by a review of the information we held about this service.