Archived: BID Services

Updated 26 November 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 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 the 27 and 28 October 2016 and was announced. The inspection team consisted of one inspector and a British Sign Language (BSL) Interpreter.

When planning our inspection we looked at the information we held about the service. This included notifications received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. The provider had not completed a Provider Information Return (PIR), as it was not possible in the time period between inspection planning and visit. The PIR is a form that asks the provider to offer some key information about the service they provide to assist with the inspection. We also contacted the NHS Commissioning department and the local authority commissioning team to identify any information that might support our inspection.

During our inspection we spoke with two people who use the service, two relatives, three care staff members, the registered manager and the operations manager. Of the ten people currently using the service all had capacity to be interviewed. However, as people and most staff members were deaf, we had to conduct interviews on a ‘one to one’ basis with a BSL Interpreter, which influenced how many interviews could be carried out. We visited people in their own homes and conducted staff interviews at the provider's offices. We reviewed the care records of three people to see how their care was planned and delivered, as well as their medicine administration records. We looked at recruitment, training and supervision records for staff. We also looked at records which supported the provider to monitor the quality and management of the service.

Updated 26 November 2016

This inspection took place on the 27 and 28 October 2016 and was announced. We gave the provider more than 48 hours’ notice that we would be visiting. This was because the provider offers a supported service to people living in their own homes and we wanted to make sure that people and staff would be available to speak with us.

BID Services is a community based adult social care service, working with deaf, deafened, hard of hearing and physically and sensory disabled people. They currently support ten people.

There was a registered manager in post at the time of our inspection. 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.

People were kept safe. Relatives believed their family members were kept safe. Staff had received training and understood the different types of abuse and knew what action they would take if they thought a person was at risk of harm. Staff were provided with sufficient guidance on how to support people’s medical support needs if required. People were kept safe by staff that were able to recognise the signs of abuse and raise concerns if needed.

People were supported by staff that had been safely recruited People and relatives felt that they were being supported by staff with the appropriate skills and knowledge to provide good care and support for them. Staff were trained and supported so that they had the knowledge and skills to enable them to care for people in a way that met their individual needs and preferences.

People were supported to make choices and were involved in the care and support they received. Staff had an awareness of the Mental Capacity Act and Deprivation of Liberty Safeguarding (DoLS) and how to support people with their best interest at heart.

Staff were caring and treated people with dignity and respect. People’s choices and independence was respected and promoted and staff responded to people’s support needs. People and relatives felt they could speak with the provider about their worries or concerns and felt they would be listened to and have their concerns addressed.

Staff spoke positively about the provider and the supportive culture they had established.

The provider had quality assurance and audit systems in place to monitor the care and support people received to ensure the service remained consistent and effective.