Archived: Bushey Flexicare

Updated 6 September 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2012, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

The inspection was carried out on 28 July 2016 by one Inspector. The inspection was announced which meant the registered provider was given 48 hours’ notice. This was to help facilitate the inspection and make sure that people who used the service and staff members were available to talk with us. Before the inspection, the provider was also required to complete a Provider Information Return (PIR). This is a form that requires them to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us.

Bushey Flexi care provides care and support to people living within their own homes within Storey court, Collins court and Barley close. During the inspection we spoke with six people who used the service, two relatives, three staff members, the manager and a representative of the provider. We also received feedback from health and social care professionals. We looked at care plans relating to four people who used the service, two staff files and other information relating to the monitoring of the service.

Updated 6 September 2016

The inspection took place on 28 July 2016. The visit was announced which meant that the registered manager was given 48 hours’ notice of the intended inspection. This was to help facilitate the inspection and make sure that people who used the service and staff members were available to talk with us. At our last inspection on 25 February 2016 the service was not meeting all the required standards in the areas we looked at and were in breach of regulation 12, 13, 17 and 18 of the Health and Social Care Act (Regulation Activities) 2014. However at this inspection we found the required improvements had been achieved and they were now meeting the standards

There was a manager in post who had submitted an application to register with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run. The registered manager was supported by service and assistant service managers responsible for the day-to-day operation of each location where people received care and support.

People told us that staff helped them stay safe, both at home and when out and about in the community. Staff received training for how to safeguard people from abuse and were knowledgeable about the potential risks of abuse and how to report their concerns. Robust recruitment practices were followed and there were sufficient numbers of suitable staff available at all times to meet people’s needs. People where necessary and appropriate were supported to take their medicines safely and at the right time by trained staff. Potential risks to people’s health and well-being were identified, reviewed and managed effectively.

People who received support, relatives and health care professionals were positive about the skills, experience and abilities of staff who received training and refresher updates relevant to their roles. Staff supported people to maintain good health and access health and social care services when necessary.

Staff obtained people’s agreement to the support provided and always obtained their consent before helping them with personal care. People told us that staff supported them in a kind and caring way that promoted their dignity. We found that staff had developed positive relationships with the people they supported and where clearly very knowledgeable about their needs and personal circumstances.

People who received support were involved in the planning and regular reviews of the care provided and this was accurately reflected in their individual plans of care. The confidentiality of information held about people’s medical and personal histories was securely maintained.

People received personalised care and support that met their needs and took account of their preferences. Staff were knowledgeable about people’s background histories, preferences and routines. People were supported to pursue social interests relevant to their needs. They told us that the registered manager and staff listened to them and responded positively to any concerns they had. People were encouraged to raise any concerns they had and knew how to make a complaint if the need arose.

People, their relatives, staff and professional stakeholders were all complimentary about the management team and how the service operated. The management team monitored the quality of services and potential risks in order to drive continuous improvement.