Background to this inspection
Updated
19 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
This inspection was carried out by a single inspector.
Service and service type:
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 the service 48 hours’ notice of the inspection visit because it is small, and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. The Inspection site visit activity took place on 13 June 2019. We visited the office location to see the manager and to review care records and policies and procedures.
What we did:
Before the inspection, we reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection, we spoke with the registered manager and reviewed the care record of one person using the service, three staff files including recruitment, training and supervision; quality assurance records and other records relating to the management of the service. After the inspection, we spoke with one relative and one member of staff to obtain their feedback about the service.
Updated
19 July 2019
About the service: Berean Healthcare & Training Agency is a domiciliary care agency. It provides personal care to people living 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 this inspection, one person was receiving personal care from the service.
People’s experience of using this service:
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.
Risk to people were assessed and management plans put in place to reduce risks. Staff had received safeguarding training and understood how to recognise signs of abuse and how to protect people from the risk of abuse. Staff supported people to take and manage their medicines in a safe way. Recruitment checks were carried on staff before they started work. There were enough staff available to support people. There were systems in place to report and manage incidents and accidents. Staff followed infection control procedures.
People’s needs were assessed . People were supported to eat and drink enough and to meet their dietary and nutritional needs. Staff supported people to access healthcare services they needed. Staff were supported through induction, supervision and training to provide appropriate care to people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People consented to their care before they were delivered. Staff and the provider understood their responsibilities under the Mental Capacity Act 2005.
People were treated with dignity and respect. Relatives knew how to raise their concerns and complaints about the service. The registered manager checked and assessed the quality of service delivered to people. The provider worked in partnership with other organisations to develop and improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: At the last inspection of the service (published 10 October 2018), we were unable to rate the service as we did not have sufficient information to rate against our characteristics of inadequate, requires improvement, good and outstanding. This is because the service had only just started providing a service at that time.
Why we inspected:
This was a planned inspection based on regulatory requirements to rate the service.
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.