B-Hope and Care Services Ltd

Updated 22 March 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

B-Hope and Care Services Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older and younger adults, people with physical disabilities, sensory impairment and people who are living with dementia.

The service had a registered 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 48 hours' notice of the inspection visit because the manager was often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

Inspection activity started on 4 February 2019 when we made telephone calls to people and their relatives. It ended on 5 February 2019 when we visited the office location to see the manager, meet staff and review records. We also visited two people in their own homes on 5 February 2019.

When planning our inspection, we looked at the information we held about the service. This included any notifications received from the provider about significant events which they are required to tell us about by law. The provider had not been sent a Provider Information Return. This 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 gave the provider the opportunity to discuss this during our inspection.

During the inspection we spoke with two people who used the service and three relatives. We also met with the registered manager, who was also the provider, the general manager and four care staff. We reviewed care records for two people, including their care plans to ensure the care provided reflected their needs. We also looked at records in relation to the management of the service including three staff recruitment and training records and quality assurance systems and processes.

Updated 22 March 2019

About the service: B-Hope and Care Services Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older and younger adults, including people living with dementia and people with a physical disability. Not everyone using this service 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 the time of our inspection there were six people using the service.

What life is like for people using this service:

•People were kept safe by staff who understood how to safeguard people from the risk of abuse and manage risks associated with their care and support. People received their medicines safely and as prescribed and were supported by sufficient numbers of staff to meet their needs and ensure the risk of harm was minimised.

•Staff were safely recruited and had completed relevant training to give them the skills and knowledge they needed to meet people’s needs.

•People were supported to have sufficient amounts to eat and drink to stay healthy. Staff supported people to access the healthcare they needed to maintain their well-being.

•People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

•Staff were described as kind, caring and often went the ‘extra mile’ to enhance people’s quality of life. Staff were respectful of people and their homes and understood how to up-hold people’s right to dignity and privacy.

•People and those important to them were at the centre of the assessment and care planning process. People were supported to express their wishes and preferences in how they wanted their care to be provided and this supported staff to deliver personalised care.

•People, relatives and staff had confidence in the leadership of the service and felt involved and consulted in the service. They were supported to share their views and these were used to drive improvements in the service.

•The provider had systems in place to monitor the quality of the service to ensure people received good care.

Rating at last inspection: This is the first inspection of the service since they registered with the Care Quality Commission.

Why we inspected: This was a scheduled inspection.

Follow up: We will continue to monitor the quality of the service through the information we receive until we return to visit as per our re-inspection programme. If any information of concern is received, we may inspect sooner.