Burlington Home Care

Burlington Home Care is a domiciliary care agency providing personal care to people in their own homes. The service provides support to younger adults, older people and people who may be living with dementia. At the time of our inspection there were 61 people using the service. 33 people received a regulated activity.

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.

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

Governance systems in place had not identified shortfalls in some records relating to the management of medicines, induction and risk management. The provider was in the process of transferring care records on to an outcome-based care planning system to support records to be more detailed and reflective of people’s needs.

Medicines were managed safely, however records to support medicines administration required further detail. Care plans and risk assessments did not always contain sufficient detail.

Procedures were in place for the management of spread of infection, however these were not always followed. The registered manager started to address this during the inspection.

Recruitment checks were carried out. People received their required care and the provider had a system in place to monitor late calls and prevent missed calls. Staff received induction and supervision and felt the management team were approachable and supportive.

People received support with their nutrition when appropriate. People were positive about the support they received from staff, reminding them to keep hydrated and healthy. If people needed support with accessing health care services staff supported this.

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 kind and caring staff, who respected their privacy and dignity.

Although care plans did not always contain sufficient person-centred information, staff knew people well and people were happy with the support they received. The provider had a complaints procedure in place. People felt confident to raise concerns and the registered manager monitored concerns and complaints.

People and staff felt engaged in the running of the service and staff felt it was a good company to work for.

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

Rating at last inspection

The last rating for the service at the previous premises was good, (published on 3 March 2018).

Why we inspected

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

You can see what action we have asked the provider to take at the end of this full report.

Recommendations

We have made recommendations in relation to the recording of peoples medicines, and record keeping at the service.

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.