Bespoke Health & Social Care

Bespoke Health & Social Care is a domiciliary care provider providing personal care to 134 people at the time of the inspection. It provides personal care for people living in their own homes, so they can live as independently as possible.

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 were supported by staff who had the knowledge and skills to ensure they were safe from harm. Risk assessments had been completed to consider what support was needed in these areas to reduce the risks. Staff were recruited in line with best practice and the number of staff were reflective of the package needs. Medicines were managed safely, and staff ensured clear infection control practices. The provider had reflected on incidents and lessons had been learnt.

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. Staff had received training relevant to their role and this was in line with best practice and current guidelines. When people required support with their nutritional needs this was documented and reflective of the individual. Health care was promoted, and the staff worked in partnership with many health and social care professionals.

The care was provided by staff, which people told us were kind and compassionate. People’s needs were respected, and care provided in a dignified way. Care plans reflected the individuals needs and they had been integral to the package of care. People’s communication needs were identified and supported along with any cultural or religious needs.

The provider ensured that any complaints had been responded to and people and staff were encouraged to feedback about the service. Any issues were reviewed and agreed outcomes of change made. There was a planned approach to reflecting the quality of the service, audits were used to ensure records and medicines were administered safely. There was a range of improvements which were being driven by the changing market and feedback on the service outcomes. The provider worked with a range of partners to support people’s health and social needs.

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 this service was Good (published 7 March 2017). The service was rated as requires improvements in ‘Safe’ and we saw improvements had been made in this area.

Why we inspected

This was a planned inspection based on the previous rating.