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Bosworth Homecare Services Good

This service was previously registered at a different address - see old profile

Reports


Inspection carried out on 25 November 2019

During a routine inspection

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.

Inspection carried out on 15 August 2016

During a routine inspection

We inspected this service on 15 and 16 August 2016. This was an announced inspection and we telephoned the week prior to our inspection in order to arrange home visits and telephone interviews with people. The service provides care in people’s homes to older people and people with debilitating illness and long term conditions such as dementia. The service is available in the South Derbyshire area, with an office based in Long Eaton. At the time of the inspection 86 people were being supported by the service. Our last inspection took place in December 2013 and at that time we found the provider was meeting the regulations.

There was 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.

The company was part of a larger organisation which provided care in the community. The staff told us they felt supported by the manager and they had received ongoing supervision and meetings to support their development. Staff received training in a range of areas to enable them to carry out their role and had been given the opportunity to access further training. New employees received the relevant checks to ensure they were safe to work with people and they were provided with an induction to support their role.

People told us they felt safe and the staff knew how to report any concerns to ensure people were protected from harm. Risk assessments had been completed for the environment and specific needs. The assessments identified guidance and ways to reduce any identified risk.

There were sufficient staff to support people’s needs and people told us they received support from a regular group of staff which they found reassuring. Where people required support with their medicine this was completely safely and in line with the appropriate training and guidance. Healthcare professionals had been contacted when requested to support people’s health and wellbeing.

People were given choices and supported to make decisions. Where they were unable to make some decisions independently these had been made with support of people who the person had chosen and through an assessment to ensure the decision was in the person’s best interest.

Some people required support with their meals. They were given choices on the meal they wished to eat and staff provided guidance for specific dietary need to support the person’s nutritional needs.

People told they had developed relationships with the staff and that they were treated with kindness and compassion. Their dignity was respected in aspects of the care they received. We saw the service was responsive and provided a flexible approach to support people’s care needs and changing situations.

The provider and manager completed a range of audits to maintain the quality of the service or to make improvements. People felt positive about the service and were able to approach the manager if they required any changes to their care needs. Any complaints which had been received had been responded to. People and staff were asked their opinion on the service and we saw that they had been responded to continue to make improvements.