Background to this inspection
Updated
4 January 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 08 November 2018 and was announced. We gave the service 48 hours’ notice of the inspection visit because the location provides a domiciliary care service and a live-in care service for adults who are often out during the day. We needed to be sure that they would be in.
The inspection team consisted of one inspector who visited the provider’s office and the following day the inspector made the telephone calls to people who used the service. Before the inspection, we reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the provider is required to send us by law. We also asked commissioning teams from local authorities and Healthwatch for any information they had, which would aid our inspection.
At the time of our inspection, the service was providing personal care for 44 people who lived in the Worcestershire area. We undertook telephone interviews with people and relatives to gauge their impression on the quality of care provided. In total, we spoke to three people who used the services and five relatives.
At the office, we reviewed five records about people’s care and other records on how the domiciliary care agency was managed. This included staff meeting records, complaints and compliments records, four personnel and recruitment records, and quality assurance checks.
Updated
4 January 2019
This inspection was carried out on 08 November 2018.
The provider registered this service with us to provide personal care and support for people within their own homes. At the time of our inspection 44 people in Worcestershire [of which 19 people had living-in care staff employed by the agency] received care and support from this service.
Not everyone using Broomhill Care Limited & Broomhill 24 Limited receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
At our last inspection in November 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
There was a registered manager in post at the time of our inspection. 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 continued to receive care, which protected them from avoidable harm and abuse. Care staff responded to and met people's needs safely. Risks to people's safety were identified and measures were in place to help reduce these risks. Care staff continued to be recruited safely by the provider, and checks were completed on new staff to make sure they were suitable to support people in their own homes. There were sufficient numbers of staff to support people effectively. Medication administration continued to be safe.
People continued to receive care that was effective in meeting their needs, by care staff who had the knowledge and skills to support them. People's rights with regards to consent and making their own decisions continued to be respected by care staff.
People were supported by care staff who knew them well and had caring relationships with them. People felt involved in their own care and care staff and the registered manager listened to and reacted to what they wanted. Care staff respected people's privacy and dignity when they supported them and promoted their independence.
Care staff continued to assist people with care and support that was individual to them. People were encouraged to raise concerns and make complaints and were confident these would be dealt with. The provider was an inclusive service and promoted equality, diversity and human rights with people and care staff. People's individual faiths were respected.
The provider and manager sought people's views and responded to the feedback about the service they received. Care staff spoke positively about feeling valued by management, who were always available to provide support and guidance. Systems were in place that continued to be effective in assessing and monitoring the quality of the service provided.