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Bionicare (Domiciliary Care Agency) Good

Inspection Summary


Overall summary & rating

Good

Updated 19 February 2019

This inspection of Bionicare (Domiciliary Care Agency) took place between 22 and 24 January 2019 and was announced. The service was last inspected in March 2016.

Bionicare (Domiciliary Care Agency) is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older people, younger adults, children, people living with dementia, people living with a physical disability, people living with mental health disorders, people living with sensory impairments, people living with eating disorders and people living with learning disabilities or autistic spectrum disorder. On the day of our inspection there were 24 people using the service. Not everyone using Bionicare (Domiciliary Care Agency) received a regulated activity. CQC only inspects the service being received by people provided with 'personal care', help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

There was a registered manager employed at the service. 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.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

However, well-led was rated ‘requires improvement’ as the provider needed to make improvements to their quality monitoring processes. This was because action plans were not always put in place to monitor and improve the quality of the service following audits. Regular feedback was not collected from people and used to improve the quality of the service. Audits were not always effective at noticing where the service could be improved. People were unclear who the registered manager was. People and staff were positive about the management of the service.

Why the service is rated Good.

The service was safe. Systems and processes were in place to protect people from harm and abuse and staff understood these. People had risk assessments in place to mitigate the likelihood of harm. There were enough staff to ensure that people received care visits on time and for the correct duration. Staff had necessary pre-employment checks completed before working at the service. People were supported to take medicines safely. Staff had training and promoted good infection control.

The service was effective. People’s needs were assessed before they started using the service. Staff had sufficient training and knowledge to support people. People were supported with their dietary needs and healthy diets were promoted. People were supported to live healthy lives and were given information or supported to access health professionals where necessary. Staff received effective training to use equipment to support people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service was caring. People were treated with kindness, respect and compassion. People were involved, and able to make choices about the care they received. People’s privacy, dignity and independence was promoted. Staff took the time to talk to people and build trusting relationships, and support people to achieve their wishes and goals.

The service was responsive. People received personalised care specific to their individual care needs. Peopl

Inspection areas

Safe

Good

Updated 19 February 2019

The service remains good.

Effective

Good

Updated 19 February 2019

The service remains good.

Caring

Good

Updated 19 February 2019

The service remains good.

Responsive

Good

Updated 19 February 2019

The service remains good.

Well-led

Requires improvement

Updated 19 February 2019

The service requires improvement.