Archived: Bailey Care Services

At the previous inspection in December 2016 we found two breeches of the Health and Social Care Act 2008 (Regulated Activities) regulations 2014. In that the provider had not taken the necessary action to ensure that medicines were managed safely. People's Medicine administration records (MAR) did not always contain accurate information relating to the administration of medicines. Not everyone had up to date or accurate risk assessments in place. We also found that people were not always supported in line with the principles of the Mental Capacity Act 2005 (MCA).

At this inspection we found that the registered manager had made significant improvements to address the areas of concern and bring the service up to the required standards. Where people needed support with taking their medicines we saw that medicine records were accurately maintained and up to date. People received their medicines as prescribed.

People's care records contained up to date and accurate information and guidance for staff to mitigate the risks associated with people's care.

The manager was knowledgeable about the MCA and how to ensure the rights of people who lacked capacity were protected. People were supported in line with the principles of the MCA.

The service did not have a registered manager. 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. However, the operations manager had submitted an application to become the registered manager. On the day of our inspection the operations manager was undergoing an interview with our registration team.

People told us they were safe. Staff understood their responsibilities to identify and report all concerns in relation to safeguarding people from abuse. Staff had completed safeguarding training. The service had robust recruitment procedures and conducted background checks to ensure staff were suitable for their role.

People were supported by staff who had the skills and training to carry out their roles and responsibilities. People benefitted from caring relationships with staff who had a caring approach to their work.

Staff spoke positively about the support they received from the leadership team. Staff had access to effective supervision. Staff and the operations manager shared the visions and values of the service.

The provider conducted regular audits to monitor the quality of the service. These were carried out by the operations manager. Audits covered all aspects of care and were used to improve the quality of the service.

The service sought people's views and opinions. People and their relatives told us they were confident they would be listened to and action would be taken if they raised a concern.

People were supported to maintain good health. Various health professionals were involved in assessing, planning and evaluating people's care and treatment.

Bailey Care Services Domiciliary Care Agency (DCA) provides personal care services to people in their own homes. At the time of our inspection 32 people were receiving a personal care service.

There was not a registered manager in post. 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.

People’s care plans did not always contain information guided by the principles of the Mental Capacity Act 2005 (MCA). Staff had completed training in relation to MCA but were not always able to understand the principles underpinning it.

People’s individual medication administration records (MAR) were not always accurate or documented when staff had assisted people with their prescribed medicines. Not everyone had up to date or accurate risk assessments in place.

The provider conducted regular audits to monitor the quality of the service. These were carried out by the operations manager and the provider. However, the service’s quality monitoring systems were not always effective.

People told us they were safe. Staff understood their responsibilities to identify and report all concerns in relation to safeguarding people from abuse. Staff had completed safeguarding training.

The service sought people's views and opinions and acted upon them. People and their relatives told us they were confident they would be listened to and action would be taken if they raised a concern.

People benefitted from caring relationships with the staff who had a caring approach to their work. The service had robust recruitment procedures and conducted background checks to ensure staff were suitable for their role.

Staff spoke positively about the support they received from senior care staff and the provider. Staff had access to effective supervision. People told us and staffing rotas confirmed there were sufficient staff to meet people's needs.

The provider shared the visions and values of the service and these were embedded within service delivery. Accidents and incident were investigated. Learning from accidents and incidents took place which promoted people's safety and quality of life.

People were supported to maintain good health. Various health professionals were involved in assessing, planning and evaluating people's care and treatment.