Background to this inspection
Updated
27 February 2024
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 conducted by 1 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
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 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 the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 7 people and 3 family members about their experience of the care provided. We spoke with 3 staff members, the care team leader and the registered manager. We also spoke with the area manager. We reviewed a range of records, these included 4 people’s care records, medicines administration records, as well as governance and quality assurance records. We also looked at 2 staff recruitment files.
Updated
27 February 2024
About the service
Bushfield Court is a Domiciliary Care Service providing personal care 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 our inspection the service was supporting 71 people with personal care.
People’s experience of using this service and what we found
People felt safe when receiving care and support. Staff knew how to raise concerns for people’s safety and there were systems in place to report concerns to the local authority safeguarding team. People’s risks were assessed and staff understood how to support people safely. There were enough safely recruited staff to support people.
People’s needs had been assessed and their preferences recorded so staff could provide care that met their needs. Staff received training relevant to their role and were supported by the management team. People received support with food and drink where required and staff worked in partnership with healthcare professionals to meet people’s health needs.
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 support from staff who were friendly and kind. Staff worked with people to encourage them to maintain their independence. People’s privacy and dignity was respected by staff who supported them.
Staff provided care that met people’s changing needs. People’s communication needs were considered and staff provided support in accordance with their individual needs. People knew how to raise concerns if they were unhappy about their care. There was a system in place to review concerns and take action to improve people’s experiences.
People, relatives and staff spoke positively about the service. People had been invited to share their feedback about the care they received. Staff were supported through 1:1 and group meetings to share their views and contribute to the development of the service. There were systems in place to monitor the quality of care provided and make improvements where concerns were identified.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, published on 20 May 2019.
Why we inspected
The inspection was prompted in part due to concerns received about staff not responding to people’s changing health needs. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and effective sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.