Background to this inspection
Updated
15 May 2021
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.
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 provider or registered manager would be in the office to support the inspection.
Inspection activity started on 20 April 2021 and ended on 28 April 2021. We visited the office location on 22 April 2021.
What we did before the inspection
We reviewed information that we had received about the service since the last inspection. We received feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with seven members of staff including the providers, registered manager, senior care workers, and care workers.
We reviewed a range of records. This included three people’s care records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures and multiple audit records were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly work the service.
Updated
15 May 2021
About the service
Baines Care Limited is a domiciliary agency providing care and support to people in their own homes. 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 the inspection Baines Care were providing personal care to 36 adults and older people.
People’s experience of using this service and what we found
People told us they felt happy with the service being provided. One person said, “Since I have been with [Baines Care Ltd] I have not had any complaint whatsoever.” People knew care staff well and who the provider and registered manager of the service were.
Staff told us, “It’s a great place to work. I’m very supported. [The registered manager] is approachable and fair to all of us. I enjoy being out and about, speaking and seeing all my service users. Its one of the few care agencies I have worked for where I have regular people to see. Which is good for me, but especially beneficial to the people who use this service.”
People had their care needs assessed appropriately. These were reviewed regularly and updated if there were changes.
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.
Risks had been identified and there were detailed actions to keep people as safe. Staff had been safely recruited and there were appropriate numbers to carry out people's assessed care and support. People we spoke to said that they felt safe and staff knew what to do to ensure this continued.
The provider and registered manager promoted an open and transparent culture within the service and feedback from people we spoke to supported this.
Rating at last inspection and update
The last rating for this service was requires improvement (published 10 December 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve Regulation 12 safe care and treatment. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 5 November 2019. A breach of legal requirements was found.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to 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 Baines Care Ltd on our website at www.cqc.org.uk
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.