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Burton Home Care Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 August 2019

About the service:

Burton Home Care is a domiciliary care service, which provides support for adults in the community, who require assistance with personal care, including those living with dementia, physical disabilities, mental health needs and sensory impairments. At the time of our inspection there were 52 people who used the service.

People’s experience of using this service and what we found

People were at risk of receiving unsafe care because the information in some risk assessments was inaccurate and did not always provide the guidance staff needed to understand and minimise risks. Measures in place to protect people were not consistently followed by staff.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The systems in place to monitor the quality and safety of the service were not effective, because they did not identify the issues we found during the inspection.

People's needs were assessed before they started using the service and regularly reviewed. When people needed support with taking their medicines, this was provided safely.

People were supported to live healthier lives, with staff supporting and contacting health care professionals when needed. Staff worked in partnership with other professionals to ensure people received the right support.

People were protected from the risk of abuse and avoidable harm. Lessons learnt from accidents and incidents were used to prevent reoccurrences. Staff followed appropriate infection control practices and robust recruitment checks were carried out for staff before they started working at the service.

People received personalised care. They told us they did not feel rushed during their care visits. They were supported by staff who knew them well and understood their needs. One person told us, “They understand me and my little ways. People told us they were involved in decisions about their care and regularly asked for their views by the office. They knew how to raise a concern and were confident it would be addressed.

Staff received a comprehensive induction, training and supervision to support them in their role. The provider was in the process of developing the training package to include the Mental Capacity Act (2005), dementia and end of life care.

The provider led an open, transparent and person-centred service. Staff felt well supported by the provider and management team and their hard work was recognised and rewarded. The provider was committed to continuing to learn and improve the quality and safety of the service provided, for the benefit of the people they supported and their local community.

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

Why we inspected

This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvements. Please see the 'Safe', 'Effective' and 'Well-led' key question sections of this full report.

Rating at last inspection and update.

The last rating for this service was requires improvement (published 26 July 2018). The service remains rated requires improvement. This service has been rated requires improvement for two consecutive inspections.

Enforcement:

We have identified breaches of regulation in relation to the assessment of risk, the need for consent and maintaining effective systems and processes to monitor the quality and safety of the service and to drive improvement.

Follow up :

We will request an action plan for the provider to understand what they will do to improve the standards of equality and safety. We will also meet with the provider following this report being published to discuss how they will make changes to ensure they will improve their rating to at least good. We will work with the local authority to mon

Inspection areas

Safe

Requires improvement

Updated 30 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 30 August 2019

The service was caring.

Details are in our caring findings below

Responsive

Good

Updated 30 August 2019

The service was responsive.

Details are in our responsive findings below

Well-led

Requires improvement

Updated 30 August 2019

The service was not always well-led.

Details are in our well-led findings below