Archived: Best Deal Care Limited

Updated 31 March 2017

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 23 January 2017. The inspection was announced. The inspection team consisted of one inspector. The provider was given 48 hours’ notice because the location provides a personal care service and we needed to be sure that someone would be in.

We looked at the information we held about the service, which included ‘notifications’. Notifications are changes, events or incidents that the provider must tell us about.

We also reviewed the provider’s statement of purpose. A statement of purpose is a document which includes the services aims and objectives.

We contacted commissioners for health and social care, responsible for funding some of the people who used the service and asked them for their views about the agency. No information was able to be provided as the service did not have a contract with the local authority.

During the inspection we spoke with a relative of a person who used the service. This was because the person who used the service did not want to speak with us directly. We also spoke with a director of the company, who was also the registered manager, and one care worker.

We looked in detail at the care and support provided to the person being supplied with personal care by the service, records of staff training, staff recruitment records and medicine administration records.

Updated 31 March 2017

Best Deal Care Ltd provides personal care for adults living in their own homes. The service, whilst being inspected, has not been rated because at the time of the inspection a service to one person was being provided. We had insufficient information to determine the level of service that people received. We could not be confident that the support people currently receive would be sustainable should the service expand to provide care for additional people and/or increase its hours of operation.

A registered manager was in place. 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 and associated Regulations about how the service is run.

Risk assessments were not consistently in place to protect people from risks to their health and welfare. Staff recruitment checks were not fully in place to protect people from receiving personal care from unsuitable staff.

The relative we spoke with told us they thought the service ensured that their family member received safe personal care. Staff had been trained in safeguarding (protecting people from abuse) and staff understood their responsibilities in this area. The relative told us that medicines had been prompted so that they were supplied safely and on time, to protect the person's health needs.

Staff had not received comprehensive training to ensure they had the skills and knowledge to be able to meet people's needs.

The staff member spoken with had, in the main, understood their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to allow, as much as possible, people to have effective choices about how they lived their lives.

People and relatives we spoke with told us that staff were friendly, kind, positive and caring. The person using the service on their relative had been involved in making decisions about how and what personal care was needed to meet their needs.

Care plans, in the main, reflected the person's individual needs to ensure they could be met, though more information was needed on their preferences to ensure staff were aware of how to provide a fully individual service.

The relative spoken with told us they would tell staff or management if they had any concerns and they were confident these would be properly followed up.

People and their relatives were satisfied with how the service was run and staff felt they were supported in their work by the registered manager.

The registered manager was introducing a system to carry out audits in order to check that the service was fully meeting people's needs and to ensure a quality service was always provided.