The inspection took place on 2, 5 and 6 November 2018 and was announced. We gave the provider 24 hours’ notice we were to inspect as the provider is a small organisation and we needed someone to be available at the registered office.

The last inspection of this service was on 6 and 7 March 2018 where we found breaches in six regulations of the Health and Social Care Act 2008, including concerns that placed people at serious risk of harm. These were in relation to unsuitable care planning and risk assessments to support people, lack of training and supervision for staff, unsafe recruitment practices, not reporting allegations of abuse to the Care Quality Commission (CQC) and not complying with the Mental Capacity Act 2005. Following the inspection, we asked the service to take some immediate action and asked the provider to complete an action plan to address the issues we had found. After our last inspection, the provider agreed to a voluntary embargo on providing services to any new people while they addressed the issues we had raised.

At the last inspection, we rated the service overall, inadequate and the service has been in Special Measures. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this time frame.

During this inspection the service demonstrated to us that improvements had been made and is no longer rated as inadequate overall, or in any key questions. Therefore, this service is now out of Special Measures.

The service is a domiciliary care agency. It provides personal care to people living in their own homes and flats in the community. It provides support to people with learning disabilities, physical disabilities, older people, dementia, sensory impairment, mental health and younger adults.

Not everyone using Bojo Care Services Limited receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At the time of the inspection, Bojo Care Services were supporting ten people with personal care.

A registered manager was in place. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

Staff members were not always recruited safely and did not have the required checks in place to ensure they were suitable to work with vulnerable groups. This was a continued breach from the last inspection.

Risk assessments to support people safely had improved and identified the risks posed to people. Risk assessments gave guidance to staff to ensure the level of risk were reduced and keep people safe from harm.

People felt safe while being supported by Bojo Care Services Limited and staff were aware of their responsibilities to report any safeguarding concerns they had. Staff were confident the management of the service would act on any concerns they had and the registered manager was aware of their responsibility to report any allegations to CQC.

The provider worked in line with the Mental Capacity Act 2005. Improvements had been made to ensure people had their capacity assessed and any concerns about people’s understanding were reported to the local authority. People gave consent to be supported with care and support.

Staff received training suitable for their job role. Training was regular and was provided by an external provider or via eLearning. Staff told us the training was good and aided their knowledge.

Staff received an induction to their role. The induction formed part of the care certificate which is an agreed set of standards, care worke

This inspection took place on the 6 and 7 March 2018. We gave the service 24 hours’ notice that we were conducting the inspection to ensure there was someone available at the office.

At this inspection, we found seven breaches of the Health and Social Care Act 2008 in relation to person centred care, consent, safety, safeguarding, good governance, staffing and fit and proper persons employed. Following the inspection, we told the service to take some immediate action to address the issues we found.

You can see what action we have told the provider to take at the back of the full version of this report. We are currently considering our options in relation to enforcement and will update this section once any enforcement action has concluded. As a result of our concerns, the provider agreed a voluntary embargo of new care packages. This meant the provider would not be taking on any new packages of care until it was agreed with the Care Quality Commission (CQC) that the necessary improvements had been made.

Bojo Care Services Limited is a domiciliary care agency. It provides personal care to people living in their own homes in the community. The service provides care to a range of people with different needs including older people, people living with dementia, learning disabilities, physical disabilities and mental health conditions. When we inspected the service, there were 27 people receiving domiciliary care. Calls to people’s properties ranged from 30 minutes to two hours per visit. Not everyone receives regulated activity; the Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

This was BoJo Care Services Limited first comprehensive inspection since being registered with the Care Quality Commission.

Bojo Care Services Limited is owned and operated by the registered manager and the nominated individual.

The service had a registered manager in post. ‘A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

People were not safe. There were no risk assessments in place to mitigate risk and support people with moving and handling. For example, there was no risk assessments devised for the care of pressure areas or for people who could be verbally or physically aggressive to others.

Care plans for people were not reviewed or involved people or their representatives. There was no evidence that care plans had been updated.

The service did not follow the principles of The Mental Capacity Act 2005. People did not have their capacity assessed as appropriate. The service did not have a mental capacity policy and was not working within the framework of the mental capacity act.

Prior to agreeing a care package. The service should assess people and the service to ensure that they can meet people’s needs. Pre assessments of people were incomplete and did not identify the full needs of people.

Medication was not safely managed. In addition there were no audits in place to monitor the safe administration of medication. There were inconsistencies in staff training in medication administration and medication records were not appropriately recorded. Staff members were not competently assessed to administer medication.

Staff were not supported by robust systems of training and monitoring. Training was not sufficient to enable staff members to carry out their role effectively.

There were no systems in place to assess, monitor and improve the service. There was a lack of scrutiny and oversight by the registered manager to ensure that people received safe care and tr