A & M Bewdley Care Services was rated Good overall following a December 2015 inspection, with four of five key questions rated Good reflecting safe, caring and person-centred support. Well-led was rated Requires improvement due to failure to submit mandatory CQC safeguarding notifications and an absence of learning from complaints.
Concerns (4)
critical
Governance
— “The systems used had failed to identify that four notifications had not been made to CQC.”
criticalSafeguarding — “Relevant notifications had not been submitted to CQC where safeguarding reports had been referred to the local authority.”
moderateIncident learning — “Although complaints were logged and investigated there was no evidence of the provider taking any learning for improvements to minimise the chance of things going wrong again.”
minorCommunication with families — “Three people told us that they were not really aware of who the managers were as there had been a number of changes. Four people told us communication could be improved.”
Strengths
· People felt safe with care staff and staff demonstrated clear understanding of safeguarding responsibilities.
· Medicines were administered by trained staff with appropriate recording and checking procedures in place.
· People received consistent care from regular staff who understood their individual likes, dislikes and preferences.
· Staff were well trained, received regular supervision, spot checks and described a good induction process.
· People were treated with dignity and respect and were actively involved in planning and reviewing their care.
Quality-Statement breakdown (5)
safe: People felt safe with care staff; staff understood safeguarding, risk management and safe recruitment practices.Good
effective: Staff were well trained, supported people to access healthcare, and worked within MCA principles obtaining consent.Good
caring: People were treated with dignity and respect; staff knew individual needs, preferences and promoted independence.Good
responsive: Care plans were person-centred and regularly reviewed; complaints were responded to and people knew how to raise concerns.Good
well-led: Four CQC safeguarding notifications were missed; no learning from complaints; management changes affected communication.Requires improvement
A & M Bewdley Care Services received a Good rating across all five key questions at its November 2016 inspection, demonstrating safe, effective, and person-centred domiciliary care to 59 people. Improvements since the previous inspection included strengthened CQC notification processes, complaints monitoring, and quality assurance systems under a newly appointed registered manager.
Strengths
· People felt safe and received regular rotas so they knew which staff to expect, with consistent care workers assigned to them.
· Staff demonstrated good knowledge of safeguarding responsibilities and risk management, with hazard checks completed before leaving.
· Medicines were managed safely with staff training, record checks, and prompt action taken where gaps were identified.
· Staff received induction, regular supervisions, spot checks, and attended staff meetings, supporting competency and development.
· People and relatives praised staff as kind, caring, and respectful, with dignity and independence actively promoted.
A&M Bewdley Care Services was rated Requires Improvement overall at its May 2019 inspection, driven by unsafe medicines recording practices and the absence of a legally required registered manager. Caring, effective and responsive domains remained Good, with people and relatives consistently reporting positive experiences of dignified, personalised care.
Concerns (5)
criticalMedication management — “staff told us they did not always have the person's prescription to accurately confirm that the medicines, dose and frequency were correct.”
criticalGovernance — “The providers medicines policy had not considered how people's medicines records were accurate, up-to-date and in line with the person's prescription.”
criticalLeadership — “the provider was not meeting their legal requirement to have a registered manager in place.”
moderateCare planning — “where a person had previously had a pressure sore and remained at risk of further pressure sores, there were no plans of care of how staff were to support them”
moderateRecord keeping — “the written guidance on how to best support people in line with best practice was not always in place.”
Strengths
· People felt safe and well supported by a consistent, stable staff team who arrived on time.
· Staff demonstrated good understanding of safeguarding, recognising abuse types and reporting procedures.
· Comprehensive induction and ongoing training programme kept staff up to date with best practice.