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Inspection Summary


Overall summary & rating

Good

Updated 19 June 2019

About the service

Burbage Home Care Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older adults. At the time of the inspection 50 people were using the service.

At the last inspection in April 2018 we found three breaches of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.The service was rated overall Requires Improvement. We found that complaints and concerns were not acted upon promptly and concerns were not resolved; that staff were not suitably deployed to meet the needs of the people using the service and that the systems used to monitor the service were not effective.

We found at this inspection that improvements were made to improve the issues we found at our previous inspection. The improvements made were sufficient to demonstrate the service was no longer in breach of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. The service is rated overall Good.

People’s experience of using this service

People told us they felt safe when they were supported by care staff. The provider advised people how to stay safe in their homes, for example advising them about ‘scams’ known to be operating in the local area.

Care staff made people feel safe and secure when they supported them. Care staff were trained on how to support people safely, for example when they used equipment such a hoist to lift and transfer people.

Assessment of potential risk ensured that staff had information and guidance to keep people safe. Care staff knew who to report any concerns to.They told us they were confident that if they raised any concerns the registered manager would take them seriously.

The same care staff supported people most of the time. The provider recognised this was important to people and was working towards ensuring this. They organised support workers into small teams so that people had a core team of care staff people were familiar with. The provider employed enough support workers so that they could meet people’s needs in a timely way.

All staff went through a thorough recruitment process that ensured as far as possible that only suitable staff were employed. New care staff learnt about people’s needs by ‘shadowing’ experienced care staff then working alongside experienced colleagues before supporting people alone. They learnt about people’s likes, dislikes and preferences about how they wanted to be supported.

Care staff had training that supported them to have the knowledge and skills to do their job well and effectively meet people’s needs. Training was developed around the needs of people who used the service.

Care staff reminded people when to take their prescribed medicines safely. They had training about how to manage medicines safely.

Care staff followed safe practice for infection control. They wore protective equipment such as gloves and aprons when they supported people.

Care staff supported people to have enough to eat and drink; they either made meals or warmed meals that relatives had prepared.

People were supported to access health services when they needed. Care staff telephoned for doctors, nurses or emergency services to attend to a person if they were unwell.

Care staff respected people’s privacy and dignity and encouraged people to be as independent as possible.

People had opportunities to express their views about the care they wanted. They were involved in reviews of their care plans.

The provider adapted to people’s changing needs, for example when people changed their plans about the care and support they needed because of appointments of holidays.

People knew how to complain and were confident that the registered manager would resolve their complaints. People told us they found it easy to contact the office.

The provider had effective arrangements for monitoring the quality of the care and support people experienced. These included regularly asking p

Inspection report


Inspection areas

Safe

Good

Updated 19 June 2019

The service was safe.

Details are in our Safe findings below.

Inspection report


Effective

Good

Updated 19 June 2019

The service was effective.

Details are in our Effective findings below.

Inspection report


Caring

Good

Updated 19 June 2019

The service was caring.

Details are in our Caring findings below.

Inspection report


Responsive

Good

Updated 19 June 2019

The service was responsive.

Details are in our Responsive findings below.

Inspection report


Well-led

Good

Updated 19 June 2019

The service was well-led.

Details are in our Well-led findings below.

Inspection report