Betamindes Limited

Updated 24 September 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. 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

This inspection was carried out by one 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 homes.

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.

Inspection activity started on 7 August 2019 and ended on 15 August 2019. We visited the office location on 7 and 15 August 2019.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and ten relatives about their experience of the care provided by telephone. We visited three people and their relatives in their own homes. We spoke with seven members of staff including the provider, registered manager, office staff and care workers.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 24 September 2019

About the service

Betamindes is a domiciliary care service providing personal care and support to people living in their own homes. They were providing a service to 59 people at the time of our inspection.

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

During the last inspection we highlighted improvements were required to the robustness of records to evidence compliance with the Mental Capacity Act 2005 (MCA). At this inspection we found 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 supported this practice.

People were supported by regular staff that had been safely recruited and had received a thorough induction and training appropriate for their role. There were enough staff employed to meet people’s individual needs. People told us they had developed positive relationships with the staff that supported them.

People’s needs were fully assessed before they were supported by the service. Each person had a care plan that reflected their individual needs, choices and routines. Care plans held enough information to inform staff about how to best meet people’s needs. Care plans were regularly reviewed and were updated as people’s needs changed.

Medication was managed safely by trained and competent staff. Medication administration records (MARs) were fully completed and regularly reviewed. Policies and procedures, as well as best practice guidance were available to staff. Staff had completed infection control training and followed best practice to minimise the risk of infection being spread.

People’s privacy and dignity was respected, and their independence was promoted wherever possible. People spoke positively about the service and staff that supported them. There were audit systems in place that were fully completed and used to improve and develop the service.

People were protected from the risk of abuse. Safeguarding policies and procedures were in place and staff had received training on how to keep people safe. Staff told us they felt confident any concerns they raised would be promptly addressed.

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

Rating at last inspection

The last rating for this service was good (published 5 January 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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.