Bkind Care Ltd

The provider was previously in breach of legal regulations related to consent, safe care and treatment, and good governance. At this assessment, we found some improvements had been made in relation to seeking and recording consent, but we continued to find alack of compliance with the safe care and treatment and good governance regulations previously breached. We also found the provider was operating from a location that was not their registered address.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

At the time of the assessment, the service was not supporting any autistic people or people with a learning disability. The provider showed limited regard to ‘Right support, right care, right culture’ guidance.

We continued to find a lack of effective management and oversight at the service. The provider failed to implement effective processes to monitor and improve the quality of the service and identify the issues found during our assessment. Records were not always complete or contemporaneous. Management was not always following the regulations, best practice guidance or their own policies and procedures.

Staff had received mandatory training and had their competencies assessed, however staff did not always receive supervisions in line with the provider’s policy. The provider was registered to care for children, although was not supporting any children at the time of the assessment. The provider did not have relevant policies, procedures and training in place if they were to provide care for children.

Most risks to people were identified, assessed and monitored, but we found examples where risk assessments were not in place. We found further improvements were required to ensure the safe management of medicines.

There was a system in place to assess the capacity of people who required it, however we continued to find inconsistency with the provider's quality of records in this area.

People received support to maintain good nutrition and hydration, and their healthcare needs were understood and met. The provider kept in close contact with relevant healthcare professionals.

This service remains in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.