3 June 2021
During an inspection looking at part of the service
BS Care Limited is a domiciliary care agency which provides support and personal care to people living in their own home. Not everyone using BS Care Limited received a regulated activity. CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. At the time of our inspection 137 people were receiving a regulated activity from the service.
People’s experience of using this service and what we found
People were generally satisfied with the service they received. The management team had processes for monitoring visits and endeavoured to ensure that office staff contacted people when care staff were held up or were running late for visits. However, we received mixed feedback about the timing and consistency of call times from people and their relatives. Staff also told us they did not have enough time in between visits for travel. Some improvement was required to make call times more consistent for people. We recommended the provider review staff schedules to improve outcomes for people and ensure staff had enough time to travel between visits.
People received support from caring staff who were appropriately trained and received an induction into their role. Appropriate recruitment procedures were in place to help ensure only suitable staff were employed.
Staff were aware of risks to people's safety and wellbeing and acted to minimise these risks. People felt safe with the staff and the care and support provided. Potential risks to people's safety had been assessed, managed and monitored to ensure their needs were met.
People told us they received safe care and felt that if they raised concerns, the management
team would act promptly to address these. People were safeguarded from the risk of abuse and staff knew how to raise any concerns with the management team.
Staff promoted people's independence and respected their rights, privacy and dignity. Staff knew people well and valued people’s individual lifestyle choices and culture.
A new system had been introduced to improve medicine administration checks. People received their medicines as prescribed and infection control risks were managed effectively.
Staff supported people to access healthcare professionals when they needed to, and worked alongside social care professionals to ensure a joined-up approach to people's care.
The provider had a quality assurance system. This included regular spot checks, audits and feedback surveys.
The registered manager was aware of their responsibilities in meeting their legal obligations.
They showed commitment and welcomed feedback to improve the quality of care people received and the overall service.
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 this service was requires improvement (published 01 February 2020) 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. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
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 BS Care Limited 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.