About the service This service is a domiciliary care agency and is based in the London Borough of Barking & Dagenham. The service provides personal care to adults in their own homes. Not everyone who used the service received personal care. The Care Quality Commission (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.
People’s experience of using this service and what we found
People had received their medicines as prescribed. Staff had received a competency assessment following their medicines training and a medicine support plan was in place, which included information on how to support people with medicines.
Quality assurance systems were in place to identify shortfalls and take prompt action to ensure people always received safe care, which included audits of medicines. Spot checks had been carried out to check if staff followed care standards. The outcomes of spot checks were communicated to staff.
Risk assessments had been carried out to ensure people received safe care. Pre-employment checks such as references had been sought to ensure staff were suitable to support people. Systems were in place to monitor staff time-keeping and prevent infections.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The previous rating for this service was requires improvement (published 17 January 2018) and there were breaches of regulation. CQC had issued requirement notices for Regulation 12 (safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Why we inspected
We undertook a focused inspection to review the key questions of safe and well-led to check if the service was compliant with the requirement notices issued at the last comprehensive inspection and to see if improvements had been made.
No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last inspection, by selecting the ‘all reports’ link for Barmat Healthcare Limited on our website at www.cqc.org.uk.
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.