BGS Healthcare Ltd

Updated 4 December 2020

The inspection

This was a targeted inspection to check whether the provider had met the requirements of the Warning Notice in relation to Regulation 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) 2014.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. 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 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection, this included feedback from professionals working with the service and notifications sent to us by the provider. Notifications are information about specific incidents the service is required to tell us about. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

During this inspection, we spoke with nine staff, this included care staff, office staff, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records, this included 10 peoples medicine care plans and related medicine records. Records about medicine incidents, medicine policies and procedures and staff training records.

Updated 4 December 2020

About the service:

BGS Healthcare Ltd. is a domiciliary care service. It provides personal care to people living in their own homes and flats.

People’s experience of using this service:

We found the service to be in breach of three regulations. These were in relation to safe care and treatment, failure to submit required notifications and good governance around recording and quality assurance.

This is the third consecutive time we have rated this service requires improvement.

Medicines were not always managed safely. Records were not always fully completed, and medicine was left out for people to take independently when they required assistance.

Quality assurance systems were not always effective, they failed to identify some inconsistencies in recruitment practice and safety concerns.

We made a recommendation regarding staff training on the mental capacity act. Staffs understanding of the Act was inconsistent.

People told us staff asked them for consent before supporting them with care tasks.

People’s care plans were personalised; staff knew people well and people told us they were happy with the care they received.

People told us staff treated them kindly and with respect.

Staff supported people to maintain independence and promoted dignity in their care. People’s confidential information was stored securely.

Staff received regular training and had regular one to one support from their line manager.

Rating at last inspection:

At our last inspection, this service was rated as requires improvement overall. Our last report was published on 5 June 2018.

Why we inspected:

This was a scheduled inspection based on the previous rating.

Enforcement:

Some information regarding the actions the provider needs to take can be found at the end of the report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representation and appeals have been concluded.

Follow up:

We will continue to monitor intelligence we receive about the service until we return in accordance with our re-inspection schedule. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk