Bella Home Care

Everyone who received support at the time of our inspection received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

Following the last inspection, we formally requested the provider sent us a monthly action plan telling us what they had improved and where improvements continued to be made at the service, with timescales. At this inspection, we found the action plan had driven some improvements and some risks associated with people's care were managed safely. Audits and checks had been improved which meant the provider was no longer in breach.

People were pleased with the service they received. People received their care calls at their agreed time slots and on occasions when staff were running late, people were notified.

People and relatives confirmed they received their care and support from a regular staff team who knew them well. People's feedback showed they valued the support they received.

There were sufficient staff employed to undertake care calls to people and to ensure people received support from the same staff team. Staff told us they were not rushed.

Staff were recruited in a safe way. Staff were trained to support people, so they had the knowledge and confidence to meet people's individual needs. Staff knew how to care for people in a safe way because risks had been assessed and were known by staff. Staff told us they regularly supported the same people, so they knew them well.

Staff recognised the signs of abuse or poor practice. Staff knew how to report any concerns they might have. The registered manager knew what to do and was confident to tackle poor practice. Where incidents had occurred, we were notified.

People received their medicines as prescribed. People had individual plans of care and staff provided personalised care and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Since our last inspection, the owner had unexpectedly passed away. The business was currently in a transitional phase. Some improvements the new registered manager wanted to make were unable to be implemented at the present time.

The registered manager's audit systems had been strengthened and increased, yet some checks were not always as up to date as they wanted. Some minor issues we found at this visit had not yet been identified through their own audits. The registered manager was committed to driving those changes and had plans to continuously improve.