Bosworth Homecare Services

Updated 8 August 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of 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. The expert-by-experience did not attend the office base of the service but spoke by telephone with some people who used the service and some people’s relatives.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided. The manager was in the process of registering with us at the time of this inspection.

Notice of inspection

We gave the service a weeks’ notice of the inspection, as we needed to be sure that someone would be available at the office. We also needed to arrange home visits and telephone calls to speak to people who used the service and their relatives; and to the staff that supported people. The inspection activity started on 8 July 2019, when we spoke to eight people on the telephone and ended on 12 July 2019, when we visited two people in their own homes and visited the office location.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We contacted the local authority who commission services from the provider. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and four people’s relatives about their experience of the care provided. We spoke with six members of staff including the manager.

We reviewed a range of records. This included four people’s care records and medication records. We looked at two 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 continued to seek clarification from the manager to validate evidence found. We looked at quality assurance records.

Updated 8 August 2019

About the service

Bosworth Home care Services provides personal care to people living in their own homes in and around Swadlincote, South Derbyshire. 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 the inspection 70 people were provided with the regulated activity of personal care.

People’s experience of using this service and what we found

The service was safe. People felt there was enough staff to provide safe and effective care. Where safeguarding concerns were identified, these were suitably reported to ensure people were safe from potential future harm. Medicines were managed safely to ensure people received them as prescribed. Risk assessments were completed, and staff were suitably recruited into the service. Staff were aware of how to reduce the risk of infection.

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. When needed people's capacity was assessed to ensure that decisions were only made in their best interests where they lacked capacity. When this was part of people’s care package they were supported with their meals and provided with the support they needed to keep well from health care services. Staff had the opportunity to develop the skills and knowledge they needed to meet people's care and support needs.

People were cared for by staff who knew them well and understood how they wanted to be supported. Information was available in an accessible format when needed to help people understand all information about the service. People had a support plan which included information about how they wanted to receive their care; this was reviewed to reflect any changes. People knew how to raise concerns about the service and these were responded to.

People knew who the manager was and were confident that the service was managed well, Quality monitoring systems were in place and effective in driving improvements. The ratings for the service was displayed on the provider’s website to inform people about the quality of 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 and update: The last rating for this service was requires improvement (published 16 July 2018) and there were multiple breaches 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

This was a planned inspection based on the previous rating.

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.