Beaumaris Healthcare Limited

Updated 15 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector and one administrator, who contacted people receiving support from Beaumaris Healthcare Limited for feedback to support the inspection.

Service and service type:

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

Not everyone using Beaumaris Healthcare Limited receives a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks relating to personal hygiene and eating. Where they do we also take into account any wider social care provided.

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 two days’ notice of the inspection site visit because we needed to be sure a manager or the provider would be available.

Inspection site visit activity started on 24 April 2019 and ended on 26 April 2019. We visited the office location on 26 April 2019 to see the registered manager and office staff; and to review care records and policies and procedures.

What we did:

Before our inspection, the registered manager had completed a Provider Information Return (PIR). The (PIR) is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service in the form of statutory notifications received from the provider and any complaints, 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 asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services. We used this information to help plan our inspection.

During our inspection, we spoke with seven people and five relatives. We spoke with six staff, which included care staff, business manager, field supervisors and the registered manager. We looked at a sample of records relating to the running of the service and the care of individuals. These included the care, including medicine records of five people who used the service. We also looked at records related to the management and administration of people's medicines, health and safety, quality assurance and staff recruitment.

Updated 15 May 2019

About the service:

Beaumaris Healthcare Limited is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of our inspection 24 people received care from the service.

People’s experience of using this service:

Since our previous inspection, improvement had been made in all areas of the service.

Quality assurance systems had been improved and now effectively monitored the quality of the care provided.

People’s medicines were safely managed, and they received them when they needed them. They were safely supported by staff who understood any risks to the person and how to help reduce them. Staff had been trained to recognise and report any safety concerns, including abuse.

Staff had been safely recruited, to help ensure they were suitable to work with people in their own homes.

Staff training was monitored to ensure it was relevant and up to date. Staff were observed in their roles to ensure they were competent.

People were supported to maintain good health and staff worked with other healthcare professionals where necessary.

People were asked for their consent their right to make their own decisions about their own care and treatment were supported by staff.

People were supported by staff who were kind and caring. People were involved in their own care and treated with dignity and respect.

People received individualised care which was regularly reviewed with them to ensure it met any changing needs.

People’s feedback about their experience of care were sought and improvements were made, where necessary.

Rating at last inspection:

At the last inspection the service was rated requires improvement (report published 20 June 2018)

At the last inspection, we had imposed conditions onto the provider’s registration. The conditions meant the provider had to send us monthly quality reports.

Why we inspected:

This was a planned inspection to ensure the provider had made the required improvements.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit, as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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