BJP Home Support Limited retained its Outstanding overall rating following a focused inspection of safe, effective and well-led domains, all rated Good. The service demonstrated robust safeguarding, person-centred care planning, effective governance and a strongly positive staff culture with no failure themes identified.
Strengths
· Staff knew people well and protected them from abuse; people reported feeling safe and respected.
· Care plans and risk assessments were clear, detailed and robust, guiding staff to mitigate risks effectively.
· Staff recruited safely with full pre-employment checks including DBS, references and employment histories.
· Medicines managed safely with audits, trained staff, and best-interest decisions for those lacking capacity.
· Person-centred care plans reflected individual needs, likes, dislikes and communication preferences.
Quality-Statement breakdown (14)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood
BJP Home Support Limited was rated Outstanding overall at its October 2017 inspection, with Outstanding ratings in caring and responsive domains driven by exceptional person-centred practice, innovative community initiatives, and highly committed staff. The sole improvement area identified was incomplete Mental Capacity Act decision-specific assessments for some people lacking capacity, which the provider began rectifying during the inspection.
Concerns (1)
moderateConsent / capacity: “Decision specific MCA assessments and best interest decisions had not been completed for some people who lacked capacity.”
Strengths
· Exceptionally person-centred care with staff going above and beyond, including innovative initiatives like 'Spare Seat Sunday' and Dementia Café
· Consistent staffing with strong care continuity; people received a regular team and were never subject to missed calls
· Outstanding staff training including specialist training (e.g. PEG feeds, lymphoedema) and a dedicated training manager conducting home assessments
· Robust quality assurance with comprehensive audit programme, action plans, and 96.5% of people recommending the service
· Strong leadership with hands-on manager, open-door policy, and high staff morale supported by recognition and reward schemes
BJP Home Support Limited received a Good rating across all five key questions at its March 2015 inspection, demonstrating strong safeguarding practices, caring staff and effective leadership. Minor shortfalls were identified in the individualisation of risk assessments, medication record-keeping and task-oriented care planning, with recommendations made to align practice with NICE guidance.
Concerns (5)
moderateCare planning: “Risk assessments required further development as they were not individual to the person. This meant that staff did not always have the written guidance they needed to help people to remain safe.”
moderateMedication management: “Staff recorded administration of these medicines as 'medipack' and did not list the individual medicines administered at each dose.”
moderateMedication management: “There was no audit of the medicines listed in the medication profile of the care plan to ensure that an accurate record was kept of the medicines administered by care staff.”
minorRecord keeping: “We could not audit the financial transaction record as receipts were disorganised and not kept with the actual record.”
minorPerson-centred care: “The care plan for hygiene and dressing for another person was more of a task list...The care plan did not include any evidence of person choice.”
Strengths
· Staff were knowledgeable in recognising signs of abuse and aware of local safeguarding protocols, with evidence of multi-agency working to protect people.
· Safe and effective recruitment procedures in place including DBS checks and reference verification before staff commenced work.
· Sufficient staffing levels with 130 staff supporting 310 people, and a flexible rapid response service for people in crisis.
· All 33 people spoken with confirmed staff were caring, kind and compassionate, treating people with dignity and respect.
· 100% of staff trained in Mental Capacity Act 2005, with regular supervision, annual appraisals and a comprehensive training programme.
effective: Mental Capacity Act compliance
Good
effective: Nutrition and hydration supportGood
effective: Working with external health professionalsGood
caring: Compassionate and dignified careOutstanding
caring: Person-centred culture and staff attitudeOutstanding
caring: Communication with families and relativesOutstanding
caring: Involvement in care planningOutstanding
caring: Maintaining independence and wellbeingOutstanding
responsive: Personalised care planning and reviewOutstanding
responsive: Flexibility and responsiveness to changing needsOutstanding
responsive: Complaints handlingOutstanding
responsive: Social inclusion and community engagementOutstanding