Bumade Healthcare Services Ltd

Updated 3 May 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

This inspection was carried out by an 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 houses and flats.

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 who was also the provider. We have referred to the registered manager as the provider throughout our report.

Notice of inspection

We gave the service 48 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.

Inspection activity started on 22 March 2023 and ended on 29 March 2023. We visited the location’s office on 22 March 2023.

What we did before the inspection

We reviewed information we had received about the service since registration. We sought feedback from the local authority. 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 spoke with 3 people, 8 relatives, 9 members of staff including the provider and the general manager. We reviewed a range of care records. This included 4 people's care plans and associated records. We looked at 3 staff files in relation to recruitment, supervision, and training. A variety of records relating to the management of the service were also reviewed.

Updated 3 May 2023

About the service

Bumade Healthcare Services Ltd is a domiciliary service providing personal care to people in their own homes who required support due to needs relating to their age or living with a physical disability. 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. At the time of our inspection, there were 23 people receiving support with their personal care.

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

Records relating to risks to people were not always comprehensive or updated following a change in people’s needs or after a review.

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 did not support this practice. Mental capacity assessments had not been completed and records relating to people’s capacity for specific decisions did not contain details of what the decision was or how this determination was made.

Feedback about staff was mainly positive, however people and their relatives told us improvements were needed to communication between staff and people being supported.

People being supported with care at the end of their life did not have any care plan or record to ensure consideration was to be given to people’s preferences, which would assist staff to provide care in a personal way.

Not everyone we spoke with was able to tell us who the manager of the service was and not all described the service as well led.

People were protected from the risk of abuse by staff who could identify potential abuse and knew how to report this. Safeguarding alerts had been raised appropriately and relevant professionals consulted when required.

Staff had been recruited safely and were provided with training. Staff treated people in a kind and considerate way.

The provider and wider staff teams recorded any accidents, incidents or near misses and these were shared via a communication platform and in staff meetings to discuss, investigate and identify learning to ensure the risk of reoccurrence was minimised.

People’s needs had been assessed before starting with the service and were reviewed. Care plans contained personal information such as likes and dislikes, personal preferred routines and hobbies and interests.

Staff were described as ‘Excellent,’ ‘Caring’ and ‘trustworthy’ who encouraged people to maximise their independence and supported people in a private and dignified way.

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 8 February 2022, and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to record keeping and assessments relating to people's ability in making decision at this inspection.

We have made a recommendation about communication between staff and people receiving support, end of life wishes and preferences and utilising tools within care planning system.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.