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 35 people who used the service.
People’s experience of using this service and what we found
The provider had not been aware of the requirement to submit statutory notifications, which meant legal requirements had not been met.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice, however further improvements were required which had not been identified by the provider. The provider acted immediately in response to feedback given and the improvements were made.
Recruitment checks were carried out for staff before they started working at the service to ensure they were safe to work with vulnerable people. However, improvements were needed.
People's needs were assessed before they started using the service and regularly reviewed. Risk assessments and care plans were comprehensive. They provided the guidance staff needed to understand and minimise risks and meet people’s needs. When people needed support with taking their medicines, this was provided safely.
People were protected from the risk of abuse and avoidable harm. Lessons learnt from accidents and incidents were used to prevent reoccurrences.
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.
A detailed Covid 19 risk assessment was in place and reviewed monthly. Staff were tested weekly for Covid 19 and had received their vaccinations. All had completed relevant training and kept up to date with relevant guidance. They were provided with the recommended PPE, enabling them to support people safely.
Staff received a comprehensive induction, training and supervision to support them in their role, and were encouraged and supported in their professional development. They felt valued by the management team and their hard work was recognised and rewarded. People spoke highly of the knowledge and skills of staff and the quality of the support they received. Comments included, “This is the best company, I would recommend them” and, “All the girls are lovely, just lovely. They will do anything for you.”
The provider and management team led an open, transparent and person-centred service which helped people and staff feel valued and supported. They were committed to continuing to learn and improve, responding immediately to feedback given during the inspection and addressing any concerns raised.
Clear processes were in place to ensure effective monitoring and accountability. There was a quality assurance programme which was informed by feedback from people, relatives and staff.
We have made a recommendation about recruitment practices.
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 last rating for this service was requires improvement (published 29 August 2019) and there were multiple breaches of regulations. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.
Why we inspected
We carried out an announced comprehensive inspection of this service on 09 and 12 July 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the need for consent, and governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well Led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has not changed and remains requires improvement. This is based on the findings at this inspection.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to the failure to submit statutory notifications and governance.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Burton Home Care on our website at www.cqc.org.uk.
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.