Updated 28 May 2021
The inspection
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 was 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.
Inspection team
The inspection team consisted of one inspector and an expert by experience. An inspector visited the service on 29 April 2021. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert by experience gathered feedback from people and relatives via telephone conversations.
Service and service type
The Care Bureau Ltd - Domiciliary Care - Stratford- on- Avon is registered as a domiciliary care service. It provides personal care to older and younger adults living with a learning disability or autistic spectrum disorder, dementia, a physical disability, sensory impairment or mental health difficulties. CQC only regulates the personal care provided.
The service had a manager registered with the Care Quality Commission. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of our inspection
Our inspection was announced. We gave short notice of our visit on 29 April 2021 to the registered manager. Notice of our visit was given because the service was inspected during the coronavirus pandemic and we wanted to be sure we were informed of the service's coronavirus risk assessment for visiting healthcare professionals before we entered the building and to ensure the provider was available for their inspection. Inspection activity commenced on 27 April 2021 and ended on 30 April 2021.
What we did before the inspection
We reviewed the information we had received about the service. This included notifications the provider is required by law to send us about events that happen within the service such as serious injuries. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the local authority who work with the service. We used all this information to plan our inspection.
During the inspection
During our on-site visit to the service, we spoke with the registered manager and the operations manager. We reviewed a range of records, including four people's care records in detail. We reviewed medicine records for four people. We looked at records relating to the management of the service, including audits and systems for managing feedback and records of when checks were made in the quality of the care provided. We also looked at how staff were recruited and trained. During our off-site work we spoke with seven people who used the service and eight relatives of people who used the service. We received feedback from five members of staff.
After the inspection
We reviewed additional documentation we had requested from the provider.