Background to this inspection
Updated
10 August 2022
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 one 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
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
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.
What we did before the inspection
We reviewed information we had received about the service since its registration. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. 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 four people who used the service and two relatives of the people about their experience of the care provided. We spoke with five members of staff including the registered manager, the care coordinator, business manager and care staff.
We reviewed a range of records. This included three people’s care plans and multiple medicines records for people supported with their medicines. We looked at recruitment checks and training records for two staff members. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
10 August 2022
About the service
BS24 limited is a domiciliary care agency providing personal care to people living in their own houses and flats in the local area. The service provides support to older people with physical support needs, some of whom experienced a recent change in their health and required support after hospital stay. At the time of our inspection there were 20 people using the service.
People’s experience of using this service and what we found
People and their relatives told us they felt safe with staff visiting them and received flexible support which met their needs and expectations. Staff supported people in a person-centred way and safely, around their needs, individual risks, or medicines when required.
People told us staff were kind, caring and compassionate. One person said, “It is quite a personal agency. They are quite amenable. I can always got hold of them if I need to. Overall they are a good crowd.” Staff knew how to support people so they felt respected, listened to and involved in their care.
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 received personal support tailored for their individual circumstances. There were enough staff employed and visits were happening as planned. New staff were employed safely. Staff felt supported by the management and received support to be competent in their roles.
The management team presented with caring values and created an open and inclusive culture in the service. The registered manager monitored the quality and safety of the care people received and was personally involved in overseeing the day to day running of the service and implementing improvements. People, their relatives and staff felt involved and complimented the communication in the service.
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 04 June 2013 and this is the first inspection. This is because the service was not providing support with personal care to any persons until late 2021.
Why we inspected
This inspection was prompted by the length of time the service was providing support to people with the regulated activity of personal care since it started to do so.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.