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Blakehill Healthcare Requires improvement

This service was previously registered at a different address - see old profile


Inspection carried out on 17 December 2020

During an inspection looking at part of the service

About the service

Blakehill is a domiciliary care service providing personal care to 29 people at the time of the inspection.

Not everyone who used the service received personal care. 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

We found concerns in relation to recruitment. Full information about staff was not always documented at the recruitment stage to enable safe decisions to be made. It is a requirement of legislation to collect a full employment history for staff, but this was not complete in the sample of recruitment files we checked. This combined with staff including very limited information in their application forms made it very difficult to assess staff’s suitability for the role.

People were positive about their experiences of using the service. They told us they felt safe with staff and that if they had concerns, they could raise them with the manager. People told us that usually if staff were running late, someone from the office would let them know this was the case. The manager was in the process of carrying out care reviews with people so that they had opportunity to be involved in planning their care.

People told us staff used appropriate PPE and disposed of it safely. Spot checks were carried out to ensure staff were carrying out their roles safely. The service worked with the local authority to investigate concerns when necessary.

There were systems in place to monitor the safety and quality of the service provided. This included computer systems that helped the manager monitor that care calls were taking place as planned. The system alerted the manager at any time when staff had not logged in to a call, in order for this to be checked.

There was a plan for the service to move in to providing care in supported living services and senior staff had been recruited with a view to supporting this process.

Rating at last inspection

The last rating for this service was Good (published 31 August 2018). The rating has changed to requires improvement as a result of concerns found at this inspection.

Why we inspected

The inspection was prompted in part due to concerns received as part of the safeguarding processes and whistleblowing. These concerns related to staffing levels and recruitment, infection control procedures and leadership of the service. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe section of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 7 August 2018

During a routine inspection

The inspection took place on 7 August 2018 and was an announced inspection. This was the first inspection of the service at its current location. The service was previously run from a different location within South Gloucestershire.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. The service predominantly provides care to people at the end of their lives. At the time of our inspection, 12 people were receiving care.

There was a registered manager in place, although they were due to go on long term planned leave at the time of our inspection. Plans were in place to cover the registered manager’s absence.

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.

People were very positive about the care they received from Blakehill. Comments included, “They look after me really, really well”, “wouldn’t change them for the world” and “very happy with them”. It was evident that strong positive relationships had been built between people and the staff that supported them.

People’s care was reviewed regularly to ensure that it continued to meet their needs. Nobody we spoke with had cause to complain but told us they would feel able to if necessary.

People received a safe service. There were systems in place to monitor that calls were taking place as planned. People confirmed that staff always attended as expected. There were occasional difficulties with staff running late but people told us they were always informed if this was the case. We discussed with the registered manager how some more detail in their care documents around medicines would be helpful to further reduce the risks of errors occurring. However overall systems for administering medicines were safe.

Staff were all positive about their training and support and received regular supervision. This helped the registered manager monitor their performance and development needs. Staff received specific training in end of life care to enable them meet the needs of people they supported.

The service was well-led. Staff felt well supported and people receiving care were all positive about the service received. There were systems in place to monitor that the quality and safety of the service.