# Bespoke Health & Social Care

*Operated by Bespoke Health & Social Care Ltd.*

Bespoke Health & Social Care is a CQC-regulated home-care agency in Nottingham.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 03/09/2019

## Practical info

- Postcode: NG1 1HN
- Registered manager: Schofield, Hayley
- Local authority: Nottingham
- Region: East Midlands
- City: Nottingham
- Last CQC check: 03/Sep/2019 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2019-09-03
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2019-09-03
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2019-09-03

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2019-09-03
- Finding
  - Staff working with other agencies; supporting people to live healthier lives
  - Published: 2019-09-03
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2019-09-03
- Finding
  - Assessing people's needs and choices; staff induction, training, skills and experience
  - Published: 2019-09-03

### Other

- Finding
  - Evidence: People reported high satisfaction, with long-standing, compassionate relationships between staff and those they supported.
  - Published: 2019-09-03
- Finding
  - Evidence: Provider demonstrated openness and transparency through regular commissioner reports, duty of candour compliance and staff feedback mechanisms.
  - Published: 2019-09-03
- Finding
  - Evidence: Strong partnerships with health and social care professionals supported timely, effective care outcomes.
  - Published: 2019-09-03
- Finding
  - Evidence: Care plans were detailed, regularly reviewed and included a wide range of communication methods tailored to individual needs.
  - Published: 2019-09-03
- Finding
  - Evidence: Staff received comprehensive, individualised training including specialist areas such as PEG feeding, spinal care and septicaemia recognition.
  - Published: 2019-09-03
- Finding
  - Evidence: Bespoke staffing teams provided consistent care, with people involved in the recruitment and 'meet and greet' of their own staff.
  - Published: 2019-09-03
- Finding
  - Evidence: Medicines management had improved since the last inspection, with monthly MAR reviews by the clinical lead and regular staff competency checks.
  - Published: 2019-09-03
- **governance** _(moderate)_
  - Evidence: The provider had recognised there was a high turnover of managers in some areas. They had completed exit interviews in the aim to establish any learning or areas of improvement.
  - Published: 2019-09-03

### responsive

- Finding
  - End of life care and support
  - Published: 2019-09-03
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2019-09-03
- Finding
  - Supporting people to develop and maintain relationships to avoid social isolation
  - Published: 2019-09-03
- Finding
  - Meeting people's communication needs
  - Published: 2019-09-03
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2019-09-03

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2019-09-03
- Finding
  - Staffing and recruitment; Learning lessons when things go wrong
  - Published: 2019-09-03
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2019-09-03
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2019-09-03
- Finding
  - Using medicines safely
  - Published: 2019-09-03

### well_led

- Finding
  - Working in partnership with others
  - Published: 2019-09-03
- Finding
  - Engaging and involving people, the public and staff
  - Published: 2019-09-03
- Finding
  - Continuous learning, audits and quality improvement
  - Published: 2019-09-03
- Finding
  - Duty of candour; transparency and notification of events
  - Published: 2019-09-03
- Finding
  - Promoting a positive, person-centred, open and inclusive culture
  - Published: 2019-09-03

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-6994884738

HomeCare Compass is an independent guide and is not affiliated with the CQC.