Beryl Care Services

Updated 17 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 30 and 31 July 2018 and was announced. We gave the provider 48 hours’ notice that we would be visiting the service. This was because the service provides care to people living in their own homes and we wanted to make sure staff would be available to speak with us.

The inspection was carried out by one inspector.

Before our inspection we reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us.

The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

Inspection activity started on 30 July 2018 and ended on 31 July 2018. We visited the office location on 30 July 2018 and spoke with the registered manager and nominated individual. We reviewed care records and documents central to people's health and well-being. These included care records relating to two people, recruitment records for two staff members, staff training records and quality audits.

On the second day of our inspection we spoke with two members of staff by telephone and the relatives of two people receiving care and support.

We received feedback from one health and social care professional from a national charity who worked closely with the provider and from one health and social care professional from the local commissioning authority.

Updated 17 August 2018

The inspection took place on 30 and 31 July 2018 and was announced. At our previous inspection in July 2017 we were unable to formally rate the service as we had insufficient evidence to support our findings.

Beryl Care is a domiciliary care agency providing 24 hour live in care to people within their own homes. Beryl Care is registered to provide a service for people living with dementia, older people, people living with a physical disability and or sensory impairment and people who misuse drugs and alcohol. The service was not registered to provide nursing care.

At the time of our inspection the service was providing care and support to two people.

The service had a registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff understood their role and responsibilities to keep people safe from harm. Staff had received training to deliver care safely and to an appropriate standard.

Staff had a good knowledge of the provider’s whistleblowing policy and procedures which meant they were able to raise concerns to protect people from unsafe care.

People were supported by staff that promoted their independence, respected their dignity and maintained their privacy.

Care plans reflected people's individual needs and preferences and were regularly reviewed to ensure the provider continued to meet people's needs.

Risks to people had been assessed and reviewed regularly to ensure people’s individual needs were being met safely.

Recruitment processes were robust to make sure people were cared for by suitable staff. There were sufficient numbers of staff deployed to meet people’s needs.

Staff understood the requirements of the Mental Capacity Act 2005 and their responsibilities to ensure that people who were unable to make their own decisions about their care and support were protected.

There was an effective complaints system in place. People told us they were confident to raise any issues about their care and that they would be listened to and addressed.

People told us the service was well-led and managed by an effective and organised management team.

Systems were in place to monitor and improve the quality of the service provided.