Background to this inspection
Updated
3 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 16 January 2020 and ended on 20 January 2020. We visited the office location on 16 January 2020.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, operations manager, frontline care manager and deputy manager.
We reviewed a range of records. This included care records of the person who received personal care . We also reviewed two staff files in relation to recruitment. A variety of records relating to the management of the service including minutes of meetings, audits, policies and procedures were reviewed.
After the inspection
We contacted relatives of person who received care and a senior support worker. We continued to seek clarification from the provider to validate evidence found.
Updated
3 March 2020
About the service
Bayliss & Wilcox is a domiciliary service providing personal care to people in their own homes. They were providing personal care for one person at the time of this inspection. The service supported a total of 10 people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
The care provided was safe. Staff knew how to protect people from avoidable harm and abuse. Systems were in place to record and report any concerns regarding people’s safety and welfare. The provider had protocols in place for the safe administration of medicines.
Staff were experienced and skilled in their role. They made prompt referrals to healthcare services when required, and supported the person to monitor their health. Staff practice complied with the requirements of the Mental Capacity Act.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff were kind and compassionate. Systems within the service supported people to be involved with decisions about their care as much as possible. Staff practice promoted people’s rights and independence.
Care was tailored to the person who received the support. Care plans were comprehensive. Staff supported person to access the community and educational opportunities. The provider had a complaints procedure in place.
The registered manager and their team maintained good oversight of the service. They supported staff to fulfil the responsibilities of their role. They completed regular checks and audits to monitor the quality of care people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 11 July 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.