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Bucks Country Home Care Limited Requires improvement

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

Reports


Inspection carried out on 22 October 2019

During a routine inspection

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 carried out on 6 April 2017

During a routine inspection

This inspection took place on 6 April 2017. It was an announced visit to the service.

This was the first inspection since the provider registered with the Care Quality Commission (CQC) to provide personal care to people. The services supported people who lived in their own homes in the North Buckinghamshire area. The registered office is based in the village of Longwick. At the time of the inspection the service was supporting 25 people.

The service had 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.

We received positive feedback from people who were supported by the service. Comments from people included “They are fabulous I trust them with my life,” “They're wonderful we've been very satisfied regular same two staff ladies” and “It’s been fantastic quality people thoroughly professional kept up to date we have regular carers.”

People were protected from abuse and avoidable harm as care workers were aware of how to recognise abuse and what to do if a concern was raised.

Care workers felt supported and had access to training to ensure they provided effective care. People told us they felt the care workers were well trained. One person told us “They are well trained they seem to know what they're doing I'd recommend them.”

People were involved in their care, and the registered manager tried to drive improvements through seeking feedback from people. However other systems in place to monitor the effectiveness of the service did not always pick up where improvements could be made. We have made a recommendation about this in the report.

People told us care workers were respectful when providing care. Care workers were aware of how to provide a dignified service. People told us “Yes they respect my privacy and dignity, if I'm getting washed they close the curtain and keep me covered and ask permission to do things” and “

“If they are helping me with personal care and someone comes to the door the ask them to come back later in twenty minutes. They always keep me covered.”

People were supported by care workers that had been recruited in a safe way. Care workers had support through a robust induction process.

People told us the care plan was personalised and reflected their current needs. They told us the care plans were regularly reviewed to ensure they were kept up to date. People told us they were involved in the review meetings and felt they were able to contribute to assessments and planning of their care. One person told us “Any changes are made once a month and the big review is once a year.”