Bosworth Homecare Services

Updated 9 January 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

This inspection was carried out by two inspectors and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 a 48 hour notice period of the inspection as we wanted to speak to people prior to the site visit and needed to give people notice that we would be calling them. Inspection activity started on 25 November 2019 and ended on 2 December 2019. We visited the office location on 27 October 2019.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with twelve people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager senior care workers and care workers. We reviewed a range of records. This included seven people's care records and medication records.

We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We asked the registered manager to send us information relating to the training of staff following the visit to the office. The registered manager sent this information to us via email. We also looked at quality assurance records and other records relating to the management of the service.

Updated 9 January 2020

About the service

Bosworth Homecare Service is a domiciliary service supporting people in their own homes in the community. 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. At the time of inspection, the service was supporting 116 people.

People’s experience of using this service and what we found

Some people told us they did not feel they received consistent carer staff and they felt there was a high turnover of staff which meant new care staff did not always know where things were in the house when they arrived to support them.

People told us they felt safe receiving the care and support provided by the service. Staff were recruited in a way which ensured people's safety. People received their medicines as per their prescription from staff who had been trained and assessed as competent. Accidents and incidents were monitored, and any actions taken to prevent future re-occurrence were recorded and shared with the staff team.

People received the support they needed to eat and drink. People said they felt treated with dignity and respect by a compassionate staff team who promoted their independence as required. People's capacity was assessed in line with the MCA requirements and they were supported in the least restrictive way.

People were aware of how to raise concerns, complaints were handled appropriately, although more detail could be provided to show what action was taken as a result of the complaint. People were able to receive information in formats suitable to their needs. People were asked for feedback and this feedback was used constructively to drive continual improvements.

Audits and quality assurance systems were in place to monitor the quality of service. The registered manager was aware of their responsibility to keep CQC informed of any incidents.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating since last inspection

The last inspection was 16 August 2016 and was rated Good. At this inspection the overall rating has remained the same.

Why we inspected

The inspection was planned in accordance with the date the service was last inspected.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.