Beaumont Business Enterprise

Pro-Help Ltd (Beaumont Business Enterprise) is a domiciliary care agency providing personal care and support to people living 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 inspection there were 25 people who received personal care support.

People’s experience of using this service and what we found

Risks to people’s safety and health were not always assessed and there was limited guidance in place of how staff should provide care which reduced known risks. Medicine administration charts were not always completed accurately. Staff received training for their roles but did not always feel the quality was good enough.

Not everyone who had fluctuating capacity or whose capacity to make specific decisions was uncertain had mental capacity assessments in their care records.

Support visits did not always take place on time and some people experienced a high number of different carers. Care records included information about people's needs and preferences but improvements to some areas were required.

Audits and quality assurance checks took place but were not always effective. Some staff felt communication from the management team needed to improve.

People felt they received safe care. Recruitment processes were followed to ensure staff were suitable for their roles but there were some gaps in information on staff files.

Staff and the management team knew people well and had a good understanding of people’s needs and individual preferences.

People were supported to promptly access health care services when needed. The management and staff team worked in partnership with health and social care professionals to ensure people's health and support needs were met.

People received support from positive and friendly staff. Staff were caring in their approach and had positive relationships with people and their relatives. People were treated with respect. Staff maintained people’s dignity and promoted their independence. Consent was sought before care was delivered.

People and their relatives knew how to make a complaint and felt they could raise issues with the registered manager.

An electronic system had recently been introduced which continued to be embedded into care and management practice.

The registered manager and provider were keen to ensure people received a good quality service and were aware of the improvements needed. The management team were aware of their legal responsibilities and worked in an open and transparent way.

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

Why we inspected

This service was registered with us on 22 March 2019 and this is the first inspection.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to safe care and the governance of the service at this inspection.

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.