We carried out a review of the data available to us about Border Care Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Border Care Ltd, you can give feedback on this service.
Border Care Ltd is a care agency that provides a care service for people in their own homes. The care agency can provide care to people who may have dementia, mental health, physical disability, sensory impairment. There were five people receiving personal care at the time we inspected.
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 received safe care and support by staff that were trained, experienced and understood how to keep people safe from harm. Relatives told us their family members felt safe with staff in their homes, saying they were all trustworthy. The provider followed safe recruitment processes when employing new staff.
People received their medicines safely, they were supported to take their medicines as prescribed. Staff were regularly assessed and had their competency checked. The risk of infection was reduced as staff used equipment provided and worked in line with guidance. The registered manager reviewed any accidents and incidents ensuring any lessons learnt were acted on.
People’s care continued to be reviewed with them and where appropriate their relatives ensuring care and support needs continued to be met. Relatives said their family members healthcare needs were being met. People, where required, were supported to have nutritional needs met and were encouraged to remain as independent as possible.
People’s relatives spoke highly of the staff team, and staff spoke passionately about their roles and the people they provided care and support to. People’s social and physical needs were incorporated into the plan of care and used to promote and maintain people’s abilities and independence. Staff worked with health community professionals to ensure people’s end of life care needs were met.
The registered manager completed regular checks to make sure people receive high quality care.
People and relatives were asked for feedback on the service they received. People knew how to complain and were confident they would be listened to if any concerns were made.
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. The last report was published 13 October 2017.
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.
Border Care Ltd is an agency that provides a domiciliary service to people in their own homes, who live in North in Herefordshire and Powys. At the time of our inspection visit, there were nine people using the service.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (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 2008 and associated Regulations about how the service is run.
The provider had first registered with the Care Quality Commission in January 2017, and had therefore not been previously inspected.
People told us they felt safe with the way staff supported them in their home. They also felt safe with staff coming into their own homes, who they described as completely trustworthy.
People told us there was sufficient numbers of staff to meet their needs safely and reliably.
Risks to people's safety and well-being had been assessed and guidance was in place for staff to follow to minimise any risks.
People told us they were happy with the support they received with their medicines. Where people received medicines, they told us they received them on time and when they should be taken.
People told us they felt care staff had the skills required to support them effectively. Staff told us the training they received was relevant to their roles in supporting people. Staff told us they received regular supervision and support, which also involved one to one sessions with the registered manager.
People were supported by staff who respected their privacy and dignity. Staff understood the importance of helping people to be as independent as possible, so that they could live safely in their own homes.
People told us they were involved in their own care. They felt listened to by staff on how they wanted their care and support provided. People told us they received care and support from staff that met their needs and personal preferences.
People told us the service was well-run and reliable and found the provider and staff team approachable and ready to listen. The provider had clear visions and values that were person-centred and that ensured people, including staff, were at the heart of everything they did.