Background to this inspection
Updated
26 January 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was completed by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 2 working days’ 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 sought feedback from the local authority and Healthwatch regarding the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We visited the provider’s office and reviewed documentation relating to the recruitment of 3 staff. We reviewed care files for 3 people who use the service and looked at the provider’s audit systems. We spoke with 8 people who use the service and 5 relatives. We spoke with 6 staff who work for the service, including the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Updated
26 January 2023
About the service
Blossom Home Care Beverley is a domiciliary care service providing regulated activity (e.g. personal care) to people in their own homes. The service provides support to people with dementia, younger adults and older adults. At the time of our inspection there were 17 people receiving a regulated activity from the service.
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
People received their medicines as prescribed. Staff received regular training relating to medicines.
Staff had some knowledge around the Mental Capacity Act and told us they always asked for consent from people. 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.
Staff provided people with good quality ,person-centred care and were protected from avoidable harm. The provider had an effective safeguarding procedure to manage safeguarding concerns promptly.
Staff were kind and caring. People and their relatives were happy with the care they received. One person said, “I have been really blessed with finding this agency.”
Staff were aware of risks and how to manage them. Staff received regular training and a comprehensive induction. Staff told us they felt supported in their role and received regular supervision.
There were sufficient staff to ensure people received punctual care which was not rushed. Staff promoted people’s choices and treated people with respect.
People were asked for their consent by staff and felt involved in their care. Care plans used to guide staff to deliver effective care were detailed and personalised.
Staff were praised for their ability to communicate effectively with people, including those with complex needs.
The provider had systems to ensure staff learnt from accidents or incidents. Staff and management strived to continually improve their practice. People and their relatives were asked for their views and knew how to raise a complaint if they needed to do so.
Overall, the governance systems in place were effective and supported the staff to provide effective care. However, audits relating to medicines could have been more robust. This was discussed with the provider and they told us they would address this immediately.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 October 2021 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.