Updated 24 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: One inspector and one expert by experience carried out this inspection. 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: Bushmead Court Management Limited provides personal care to people in their own home. The service is situated in Bushmead Court Housing scheme and provides 24-hour care and support to people who live in their own flats.
On the day of our inspection 17 people were being provided with 'personal care', help with tasks related to personal hygiene and eating. We also considered any wider social care provided.
Notice of inspection: We gave the service 72 hours’ notice of the inspection as we needed to make sure that people were happy to be visited by us in their own homes.
What we did: The inspector and expert by experience visited Bushmead Court on 17 April 2019 to see the people being supported and their relatives. We also visited to see staff and to review care records and policies and procedures. The inspector visited Bushmead Court again on 30 April 2019 to speak to the registered manager and review further documents.
Before the inspection we gathered and reviewed information that we received from the provider on the provider information return (PIR). This is a document that the provider sent us saying how they were meeting the regulations, identified any key achievements and any plans for improvement. We also reviewed all information received from external sources such as the local authority and reviews of the service.
During the inspection we spoke with five people using the service, six relatives, three care staff, two duty managers, two visiting professionals, the registered manager, the service manager and the nominated individual. We gathered information from four care files which included all aspects of care and risk. We looked at two staff files including all aspects of recruitment, supervisions, and training records. We also looked at records of accidents, incidents and complaints, audits, surveys and minutes of staff and professional meetings and policies and procedures relating to the management of the service.
After the inspection we received further evidence from the registered manager that they were taking action about what we discussed with them during the inspection process.