About the service: Bespoke Support MK Ltd is a domiciliary care agency providing personal care to people living in their own homes in Milton Keynes. Most people received social support from the provider; most personal care was provided intermittently when needed by people as they accessed their social activities. At the time of the inspection six people were receiving support with personal care.People’s experience of using this service:
Improvements were required to the measures in place to prevent and control infection. The registered manager took immediate action to rectify the concerns identified. Some areas of risk had not been assessed to enable plans to be made to mitigate potential risks to people’s health and well being.
The service had a positive ethos and an open culture. The registered manager was approachable, understood the needs of people, and listened to staff. There was sufficient oversight in place to ensure people received a good service that met their needs and any improvements identified were made promptly.
People were cared for safely and with compassion. Staff were friendly, caring and passionate about their work; they treated people with respect and maintained their dignity.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s personal preferences.
Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs. Staff had access to the support and supervision they required to work effectively in their roles. Staff had mostly received the training they needed to meet people’s needs. People told us staff were well trained.
Information was provided to people in an accessible format to enable them to make decisions about their care and support. People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.
There was no end of life care being delivered at the time of the inspection. However, the provider’s policies required further development to detail the support that staff would provide to people in preparing for the end of their life.
No support with medicines was required at the time of inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 10 September 2018, and this is the first inspection.
Why we inspected
This was a planned inspection.
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.