Bespoke Care and Training Ltd received a Good rating across all five key questions at its first CQC inspection in November 2022, with 39 people receiving personal care. The service demonstrated robust safeguarding, medicines management via EMAR, strong staff training and support, person-centred care planning, and effective quality assurance systems with no failure themes identified.
Strengths
· Staff trained in safeguarding and knowledgeable on identifying and reporting abuse; relatives confirmed people felt safe and secure.
· Electronic care records accessible via app to staff, professionals and emergency services, supporting safe and consistent care delivery.
· Electronic medicines administration records (EMAR) with audits in place; no medicines errors recorded in recent months.
· Regular team of staff supporting continuity of care; relatives praised consistency and quality of staff.
· Strong training programme including specialist training; staff felt well-supported by management at all times including out of hours.
Quality-Statement breakdown (21)
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 to maintain a balanced dietGood
effective: Staff working with other agencies; supporting people to access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidance (MCA)Good
caring: Ensuring people are well treated and supported; respecting equality and diversity; privacy, dignity and independenceGood
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 controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to maintain relationships and avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles; promoting a positive, person-centred cultureGood
well-led: Engaging and involving people, staff and the public; duty of candourGood
well-led: Continuous learning and improving care; working in partnership with othersGood