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Blue Arch Homecare Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 December 2020

Blue Arch Homecare is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection 38 people were using the service.

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. At the time of the inspection 38 people were receiving personal care.

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

Since our last inspection improvement had taken place to infection prevention controls (IPC), these now needed to be embedded into day to day practice. Appropriate Personal Protective Equipment (PPE) was made available and worn by staff.

Improvement had taken place to staff recruitment procedures, these now need to be embedded into day to day practice. There was enough staff to meet people’s needs, people told us the staff who provided their care were consistent and knew them well.

The provider had implemented an electronic monitoring system to help with monitoring all aspects of the service. However, quality assurance checks were still not consistently being carried out in a timely manner, in order to ensure the care being delivered was safe and to a good standard.

Where the provider was responsible, people received their medicines safely and as prescribed by staff who had been trained and assessed as competent to administer medicines. The provider needs to complete regular medicine audits to check people consistently receive their medicines safely.

People told us they felt safe and confident with the care and support they received from staff. People were safeguarded from abuse and neglect by a staff team who were trained in safeguarding procedures.

Staff received relevant training to ensure that they had the required skills and experience to support people appropriately. Due to the COVID-19 face to face training had been postponed until January 2021, in the interim staff were completing on-line training.

Risk assessments had been completed to ensure people were supported to remain safe. There was clear guidance for staff on how to manage people’s risks.

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 supported this practice.

The provider and staff team were kind, caring and compassionate. People and their representatives told us that staff were kind to them and respected their dignity and their privacy.

Care records contained sufficient information about people’s needs and routines. End of life care planning was provided, however at the time of the inspection the provider confirmed no people were on end of life care pathways.

The provider had implemented a quality assurance system to give people opportunities to feedback on the service they received. The provider had systems in place to encourage and respond to any complaints or compliments. People told us they were comfortable approaching the provider if they had a complaint.

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

Rating at the last inspection (and update)

This service was registered with us on 4 April 2019. A focused inspection took place in July 2020 (Report published on 20 August 2020) the service was not rated and had multiple breaches in the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

This was a full comprehensive inspection to check the provider had followed their action plan and to confirm they now met the legal requirements. Enough improvement had been made at this inspection and the provider was no longer in breach of the regulations.

We have made a recommendation regarding good governance.

You can read the report from our last focused inspection, by selecting t

Inspection areas

Safe

Requires improvement

Updated 19 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 19 December 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 19 December 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 19 December 2020

The service was well-led.

Details are in our well-led findings below.

Well-led

Requires improvement

Updated 19 December 2020

The service was not always well-led.

Details are in our well-led findings below.