The Care Bureau Ltd - Domiciliary Care - Rugby

Updated 27 April 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by one inspector and an inspection manager.

Service and service type: The Care Bureau – Domiciliary care - Rugby offers people personal care in their own homes. CQC only regulates the care people receive in these circumstances, so we only looked at this aspect of the care provided.

The service had an experienced registered manager at the time of our inspection. 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.

Notice of inspection: Inspection site activity started on 12 March 2019 when we visited the service’s office. The inspection was announced 24 hours before our visit, so that we could be sure of meeting the registered manager, the provider, and care staff.

What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as serious injury. We sought feedback from the local authority and professionals who worked with the service. We asked the provider to tell us about their service, what they did well and any improvements they planned to make. We used all this information to plan and conduct our inspection.

During the inspection visit: We reviewed four people’s care records, to ensure they were reflective of their needs, and other documents such as medicines records. We reviewed records relating to the management of the whole service such as quality audits, people’s feedback, and meeting minutes. We spoke with four people and one relative of people who used the service. We also received feedback from two care workers, an assessor/field supervisor, the registered manager, a director who represented the provider, and the quality auditor.

Updated 27 April 2019

About the service: The Care Bureau – Domiciliary Care - Rugby provides personal care for people living in their own homes in the local community. Eighty-six people were receiving personal care at the time of our inspection visit.

People's experience of using this service:

•People told us they felt safe with staff who visited them in their home.

•People's safety had been considered by the provider, risk management plans were in place to maintain people's safety.

•Staff had received training in relation to safeguarding and knew how to protect people from harm.

•Medicines were managed safely.

•The risk of any infection spreading was reduced by the maintenance of good hygiene practice.

•The provider delivered person-centred care, according to the needs and wishes of people who used the service.

•The provider invested in staff induction, training and development to ensure people received care from supported and skilled staff.

•The provider had a complaints policy and process in place; people told us they would feel comfortable raising complaints.

•The provider had quality monitoring arrangements through which they continually reviewed evaluated and improved people's care.

•People, stakeholders and staff had an opportunity to shape the service through feedback and suggestions.

Why we inspected – The inspection was prompted in part by notification of a potential serious incident. At the time of our inspection, we were aware of an ongoing investigation. Whilst this inspection did not examine the circumstances of the incident, we considered the provider’s management of risks; staff training, and quality assurance procedures. We may review the incident in more detail when the ongoing investigation is concluded.

Rating at last inspection: Good. The last report for The Care Bureau – Domiciliary Care – Rugby was published in November 2017.

At this inspection we found the service continued to be rated as Good in both Safe and Well Led.

Follow up: We will continue to monitor the service to ensure it meets its regulatory requirements. More information is in the 'Detailed Findings' below.