We carried out a review of the data available to us about Baines Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Baines Care Ltd, you can give feedback on this 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.
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. The Care Quality Commission (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 they were providing personal care to 25 people.
People’s experience of using this service and what we found
Guidance for staff about how to move people safely and information regarding people’s health conditions were not consistently completed to make sure people were as safe as possible. Quality checks had not identified the shortfalls found during the inspection.
People felt safe receiving care and support from regular Baines Care staff. People told us staff arrived on time and stayed for the right amount of time. One person said, “I do feel quite safe with them coming in. They are always on time”. People were protected from the risks of abuse and discrimination by staff who were trained to recognise the signs and knew how to report any concerns. Staff had been safely recruited and there were enough staff to provide people’s support when they needed it. The provider and registered manager considered travelling time to make sure staff had enough time to spend with people and were not rushed.
People’s health care needs were assessed, monitored and reviewed and their care plans were kept up to date with any changes. Staff completed regular training to keep up to date with best practice and felt supported by the management team. Staff worked with health and social care professionals, such as social workers and community nurses to support people to remain as healthy as possible. 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 and their relatives told us the staff were very caring. A relative commented, “They are very, very good. The girls that take care of [our loved one] are very patient and kind to them”. People said their privacy and dignity were respected. People had built trusting relationships with staff and the staff knew them and their preferences well.
People knew how to complain and told us they did not have any complaints. The provider and registered manager welcomed feedback and addressed any minor issues as they arose. These had been satisfactorily resolved.
People told us the service was well-led and they would recommend Baines Care to others. The provider and registered manager worked closely with the staff team and health care professionals to provide effective, joined-up care and support.
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 16/11/2018 and this is the first inspection.
Why we inspected
This was a planned inspection based on our current inspection programme.
Enforcement
We have identified a breach in relation to inconsistent detailed guidance for staff about how to move people safely, the lack of information regarding people’s health conditions.
Please see the action we have told the provider to take at the end of this report.
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.