Bevancare LTD

Updated 21 June 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by an 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. The service also provides care and support to people living in 2 ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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 10 May 2023 and ended on 23 May 2023. We visited the location’s office on 10 and 15 May 2023 and one of the supported living settings on 23 May 2023.

What we did before the inspection

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

During the inspection

We spoke with 4 people who used the service and 6 family members on the telephone about their experience of the support provided. We also visited and spoke with a person who lived in one of the supported living settings. We spoke with the registered manager. We sent questionnaires to care staff asking a range of questions about their experience of working for the service. Eight completed questionnaires were returned to us. We reviewed a range of records. This included 3 people’s care records, multiple medicine administration records and 3 staff recruitment files. A variety of other records relating to the management of the service were also considered as part of the inspection. These included audits, training and supervision records and policies.

Updated 21 June 2023

About the service

Bevancare Ltd is a domiciliary care service providing personal care and support to people living in and around Rochdale. 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. At the time of our inspection the service were supporting 37 people with the regulated activity of personal care.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were 3 people using the service who have a learning disability and/or who are autistic.

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.

We found improvements were required with care documentation and with the monitoring of care visit times. Medicines records had not always been completed accurately and there was important information missing. We received mixed comments from people and family members about the timing of their visits, with some visits occurring too close together.

The service had a robust recruitment process which ensured suitable staff were employed. Staff followed correct infection control practices.

People had care plans which described how they wished to be supported. The service was in the process of moving from a paper-based to an electronic system for their care records and medicine administration records.

People and family members were happy with the attitude of staff. They told us staff were kind and caring. We saw positive interactions between staff and people living in the supported living setting we visited.

People, family members and staff were complimentary about the management of the service. Staff told us they enjoyed their work and were well-supported by the registered manager.

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

Why we inspected

The inspection was prompted in part due to concerns received about the service. A decision was made for us to inspect. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bevancare Ltd on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified a breach in relation to the administration of medicines. 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.