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Bucks Country Home Care Limited Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 November 2019

About the service

Bucks Country Home Care Limited is registered to provide personal care and support to people in their own homes. 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 the inspection the service supported 38 people across rural Buckinghamshire.

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

People were not always protected from unsafe medicine management. The service did not fully comply with national guidelines regarding records relating to medicines. Some people were supported with the administration of their prescribed medicines without any medicine administration records being in place. Records did not routinely show why prescribed medicines had not been administered.

People’s care plans showed their likes and dislikes and how they wished to be supported. However, they did not routinely show if any discussions had been held about their end of life care wishes. We have made a recommendation about this in the report.

People were supported by care workers who demonstrated they were kind, compassionate and promoted people’s dignity. Comments from people and their relatives included “They respect my privacy at all times” and “They have a very difficult job and they’re always very cheerful.”

People were complimentary about the support provided. People told us “I would not change agency at all, as they are perfect as far as I am concerned,” “The staff are so kind and caring” and “I can’t fault anything.”

People were supported by staff who had been recruited safely to ensure they had the right skills and attributes. Staff were provided with training to keep their knowledge up to date.

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.

People told us the service was well-led. The provider had clear values which were communicated to staff. People told us “I think the service is well managed as I have no complaints” and “They do a fantastic job.”

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 2 May 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.

Inspection areas

Safe

Requires improvement

Updated 22 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 22 November 2019

The service was effective.

Details are in our effective findings below

Caring

Good

Updated 22 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 November 2019

The service was not always well-led.

Details are in our well-Led findings below.