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Archived: Bodmin STEPS Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 26 February 2019

During a routine inspection

About the service:

Bodmin STEPS (Short term enablement and planning service) is a domiciliary care service that provides personal care and support to people living in their own homes in the community. The service provides up to six weeks of support to people who are returning from hospital or who are in need of extra support, to enable them to continue to live in their own homes. When we inspected the service was providing the regulated activity, personal care, to approximately 21 people in the Bodmin and surrounding areas in Cornwall.

People’s experience of using this service:

People using the service consistently told us they felt safe and staff treated them in a caring and respectful manner. Comments included “Staff make me feel safe by the way they work, they know what they are doing” and “It’s the way they speak and treat me, you can tell that they care.”

People made decisions about their care and they were involved in developing their care plans, in which their goals and aspirations were agreed. Care plans were reviewed weekly to evaluate the progress people were making against their overall goals and agree the next steps for the following week.

People were supported by a stable staff team who had the skills and knowledge to meet their needs. Staff spoke passionately about the people they supported and were clearly committed to providing a responsive and caring service in line with people’s agreed goals. One staff member said, “I love seeing people improve and become more independent.”

Assessments were carried out to identify any risks to the person using the service and to the staff supporting them. People had agreed the times of their visits and were kept informed of any changes. No one reported ever having had any missed visits.

The registered manager and management team used various methods to assess and monitor the quality of the service. These included the call monitoring system, staff meetings, spot checks, auditing of the service and surveys to seek people’s views about the service provided. All feedback was used to make continuous improvements to the service.

Rating at last inspection: Good (report published on 10 September 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains Good.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

The full details can be found on our website at www.cqc.org.uk

Inspection carried out on 16 August 2016

During a routine inspection

We carried out this inspection on 16 and 18 August 2016 and it was announced 48 hours in advance in accordance with the Care Quality Commission’s current procedures for inspecting domiciliary care services. This was the first inspection for the service since registering as a new provider, Cormac Solutions Limited, in October 2015. Cormac Solutions Limited is a company wholly owned by Cornwall Council. The service was last inspected in October 2013, when the registered provider was Cornwall Council; we had no concerns at that time.

Bodmin STEPS (Short Term Enablement and Planning Service) is registered to provide personal care to people in their own homes. The service provides care visits for periods of up to six weeks. The aim of the service is to re-enable people to maximise and re-gain their independence, within their own home, after a period of illness and/or hospital stay. The service provides support to adults of all ages. On the days of the inspection the service was providing personal care to 25 people. Referrals for packages of care were made to the service by health and social care professionals. These included; hospital discharge teams, physiotherapists and occupational therapists.

There was a registered manager in post who was responsible for the day-to-day running of 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 and associated Regulations about how the service is run.

People told us they felt safe using the service. Comments included, “I am very happy with the help”, “Excellent service, I am very satisfied” and “They have been wonderful.”

There were enough staff employed by the service to cover the visits and keep people safe. Rotas were organised into runs of work in specific geographical areas. Staff worked, as much as possible, in areas close to where they lived to minimise travel time and help ensure people had a consistent team of care workers. People told us they had regular staff and the times of their visits were agreed with them. Everyone told us the service was reliable, visits were never missed and they were kept informed of any changes to the time of their visits.

Staff did not rush people and provided care and support at their pace, with a focus on encouraging people to do as much as possible for themselves. People spoke positively about how staff encouraged and helped them gain the confidence they needed to meet their goals. People commented, “Staff give you the confidence to do a bit more for yourself”, “It has been most helpful” and “Staff are helping me to improve.”

Staff were recruited safely, which meant they were suitable to work with vulnerable people. Staff had received training in how to recognise and report abuse. All were clear about how to report any concerns and were confident that any allegations made would be fully investigated to help ensure people were protected. Staff received appropriate training and supervision. New staff received an induction, which incorporated the care certificate. There were sufficient numbers of suitably qualified staff available to meet the needs of people who used the service.

Staff were knowledgeable about the people they cared for and knew how to recognise if people’s needs changed. Staff were aware of people’s preferences and interests, as well as their health and reablement needs, which meant they were able to provide a personalised service. Care plans provided staff with clear direction and guidance about how to meet people’s individual needs and wishes. Staff spoke passionately about the people they supported and were clearly committed to providing a personalised and caring service in line with people’s agreed goals. Comments from staff included, “It’s great to see how people improve”, “You really feel t