Buckingham Home Care Limited

Induction, support and oversight of training of care workers was not sufficient to meet their development needs and make sure people were cared for by workers with the skills and experience to meet their needs.

Some governance systems were in place to monitor the quality of people's care but these were not robust enough to identify all areas where improvements were required at the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. At the time of the inspection, people supported by the service had mental capacity. We have made a recommendation regarding providing support to people who may not have mental capacity and acting in their best interests.

Care plans were written to record people's needs. We have made recommendations about providing more details about the support and equipment people need, to ensure they receive consistency with their care.

Risk assessments were in place to reduce the likelihood of harm to people. We have made a recommendation where people receive anti-coagulant therapy, to make sure staff can support them safely and effectively.

Medicines records were not always fully completed by care workers. We have made a recommendation about this to ensure accurate records are maintained.

People received healthcare support when they needed it and were supported with eating and drinking where this was part of their care package.

We have made further recommendations about developing the duty of candour policy and updating the complaints and whistleblowing policies.

People told us they were happy with the service provided to them. Comments included "Always been on time and have never missed a visit," "They are very kind and helpful" and "I cannot fault the care, the ladies who come are very kind and very good." People felt the service met their needs.

People said they were treated with dignity and respect and their views were sought through use of surveys. Reponses to a recent survey were positive. People said they would contact the provider if they had any concerns. No one we spoke with had needed to make a complaint.