Bosworth Homecare Services received a Good rating across all five key questions at its August 2016 inspection, with 86 people supported in their homes in South Derbyshire. The service demonstrated safe, person-centred care delivered by well-trained, supported staff, with effective governance systems and responsive management in place.
Strengths
· People felt safe and staff understood safeguarding responsibilities; concerns were escalated promptly
· Sufficient staffing levels with regular carers assigned, providing continuity and reassurance to people
· Medicines administered safely with staff competency checks and spot checks in place
· Staff received structured induction, ongoing training including dementia and end of life care, and were encouraged to pursue national qualifications
· Mental Capacity Act principles followed; staff supported people to make their own decisions
Bosworth Homecare Services was rated Good overall at its November 2019 inspection, maintaining its previous 2016 rating, with strengths in safeguarding, medicines management, dignity, and person-centred care planning. The Responsive domain deteriorated to Requires Improvement due to inconsistent carer allocation — with some people receiving up to eight different staff in a month — late calls, and insufficiently detailed complaint responses.
Concerns (5)
moderatePerson-centred care: “one person was receiving up to eight different care staff in a month. This person had found this difficult as they did not feel staff knew them very well.”
minorMissed or late visits: “Several people we spoke with also mentioned their calls were late.”
minorComplaints handling: “it was not always clear what action was taken as a result of a complaint.”
minorCommunication with families: “Some staff raised concerns around communication between the office and themselves...as this was also raised during this inspection by staff, improvements still needed to be embedded.”
minorSupervision / appraisal: “Some staff told us they had not received supervision. However, we saw records confirming staff had received supervision.”
Strengths
· People felt safe and staff treated them with kindness, respect and dignity; people were offered gender preference for personal care.
· Robust safeguarding systems in place; staff understood how to report concerns to social services and CQC.
· Safe medicines management with trained and competency-assessed staff completing MAR records.
· Thorough pre-employment checks including DBS and employment history.
· Detailed, personalised care plans incorporating life histories and regularly reviewed assessments.
Quality-Statement breakdown (25)
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 to provide consistent, effective, timely careGood
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
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
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 concernsRequires improvement
responsive: End of life care and supportGood
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 staffGood
well-led: Continuous learning and improving careRequires improvement