BS24 limited, a small domiciliary care agency supporting 20 people, was rated Good across all five key questions at this first inspection. The service demonstrated person-centred care, safe staffing and recruitment, and a hands-on registered manager, with minor areas for development around formal governance auditing and structured medicines audits as the service grows.
Concerns (2)
minor
Governance
: “The governance systems and structures were at early stages of development and there was no formal auditing structure due to the size of the service.”
minorMedication management: “The registered manager monitored that support during ad hoc visits and planned to implement more robust and structured medicines audits.”
Strengths
· People felt safe with staff and received flexible, person-centred support tailored to their needs
· Consistent staff team with reliable visit timings and continuity of carers
· Safe recruitment processes including DBS checks and pre-employment vetting
· Staff felt well supported by management with ongoing training and an open-door policy
· Registered manager was hands-on, visible, and personally monitored care quality
Quality-Statement breakdown (19)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
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 and access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
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; duty of candourGood