Bloomcare Ltd

Updated 12 March 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ 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 inspection

The provider was not asked to complete a provider information return prior to this inspection.

This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we had received about the service. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and one relative about their experience of the care provided. We spoke with two members of staff including the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records including two people’s care and medicines records. We looked at three staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 12 March 2020

About the service

Bloomcare Ltd is a domiciliary care agency. At the time of the inspection it was providing personal care to two people living in their own homes.

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

People’s medicines were not always managed safely. Medicines records were not always in place when needed and some were not fully completed. We have made a recommendation about medicines management.

The service did not always complete the relevant checks to ensure staff were safely recruited. We have made a recommendation about recruitment processes.

Risks relating to people’s health conditions had not been assessed to ensure staff knew how to support people safely. Staff had not been offered training to ensure they understood people’s specific health needs.

The provider did not have effective quality monitoring processes in place. Records were not kept of staff induction and supervision and the provider lacked oversight of staff training and development needs.

People told us they felt safe and were supported by a consistent staff team. Staff had been given safeguarding training and knew how to raise concerns.

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 24/04/2019 and this is the first inspection.

Why we inspected

We received information of concern regarding the management of the service. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them.

We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this report.

Following the inspection, the provider took action to mitigate the risks.

Follow up

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.