Baldev Skills Resources Limited

Baldev Skills Resources Limited is a domiciliary care agency providing personal care in people’s own homes. At the time of the inspection the service was providing care and support to two people.

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

The service was predominantly well run, and feedback we received confirmed people who used the service were happy with the care and support they received. The provider’s audit systems needed improving and not all aspects of service delivery were robustly monitored.

Relatives told us their family members received safe care from staff who were caring and kind. Some of the provider’s processes did not consistently promote safe care; we asked the registered manager to address these shortfalls. Staff were not always safely recruited. Medicines were mostly well-managed, and people received their medicines as prescribed. People’s medicine support plans lacked detail and records of administration were not always full and present. We have made a recommendation about the provider’s medicine management processes.

People’s health and safety risks were identified through assessment and measures put in place to reduce risk. Call schedules were organised, and staff consistently arrived on time. People received support from the same core group of staff, which promoted good continuity of care. Staff followed safe infection control practices.

People’s needs were not always identified. Although this placed people at an increased risk of not having their needs met, we found no evidence this had been detrimental to people’s actual care. Care plans were person-centred and relatives spoken with told us they were fully involved in decisions about care and support. The registered manager regularly reviewed people’s care, but discussions with relevant persons were not always captured as part of this process. The registered manager assured us action would be taken to address shortfalls with people’s assessments and care plans.

People were supported by staff who were competent and skilled. Staff were trained to administer people’s medicines safely and to identify and report any safeguarding concerns. Staff asked people for their consent before providing them with any care. People who used the service 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.

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 22 September 2017, but they did not start providing care to people until November 2021. This is the service's first inspection.

Why we inspected

This was a planned inspection based on the date of registration and the date 'regulated activity' started.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to recruitment, assessment of people’s needs and the provider's systems of governance at this inspection.

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.