Background to this inspection
Updated
17 May 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. An Expert by Experience made telephone calls to people and their relatives to gather their views on the service. 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
This inspection was announced. We gave the service 24 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 29 March 2022 and ended on 8 April 2022. We visited the location’s service on 29 March 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do 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 three relatives about their experience of the care provided. We spoke with and received feedback from three members of staff including the registered manager, office manager and a care worker. We were in the office when a scheduled staff meeting took place.
We reviewed a range of records. This included three people's care records and medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with four staff over the telephone to seek their views of the service. We continued to seek clarification from the provider to validate evidence found. We looked at a care plan template, training data and quality assurance records. We received feedback from two health and social care professionals who have worked with the service.
Updated
17 May 2022
About the service
Bury Home Care is a domiciliary care agency that provides personal care to people living in their own homes in the community. The service had moved to new premises since our last inspection. At the time of the inspection the agency was supporting 35 people. The provider supports people in their own homes with varying levels of care, some with specific long-term health conditions.
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.
People's experience of using this service and what we found
People, their relatives and staff told us Bury Home Care delivered a safe service. Policies and procedures were in place to guide staff on how to keep people safe and what they had to do if they had concerns. Medicines were managed safely. Staff understood the risks to people's safety and wellbeing and what they should do to keep people safe. Staff knew how to identify and raise concerns about safety; they were confident the service would take them seriously.
Systems were in place to ensure the right staff were recruited. Staff received relevant training to help them meet people's needs. Staff were well supported by the registered manager and senior staff. There were enough staff at the time of the inspection. Core teams of staff supported the same people as much as possible. This meant that the staff knew the people they cared for well.
There were safe infection control procedures in place including enough supplies of personal protective equipment (PPE). Staff compliance was checked and training in preventing the spread of infections was given to all staff.
Staff respected people's rights to privacy, dignity and independence. They knew the person they were supporting well and described care that was person centred; people were placed at the heart of the service.
Quality assurance processes were robust. The registered manager, supported by other key senior staff, could monitor standards of care delivery with a range of checks and audits. Staff were aware of the company’s mission statement and strived to ensure that people using the service had a voice.
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
Rating at last inspection and update
The last rating for the service at the previous premises was requires improvement, published on 28 May 2019. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bury Home Care on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.