Background to this inspection
Updated
14 December 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency, specialising in supporting people with learning disabilities and/or complex needs. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 25 October 2022 and ended on 27 October 2022. We visited the location's office on 25 October 2022.
What we did before the inspection
We reviewed information we had received about the service since they registered with us. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We gave the provider the opportunity to share this information during this inspection.
During the inspection
We spoke with 2 people who used the service and 4 relatives by telephone. We also received feedback from a healthcare professional. We case tracked three people including their care plans and care records. We spoke with seven staff including the registered manager, the nominated individual and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed staff recruitment and training records and a range of documents relating to the day to day running and oversight of the service.
Updated
14 December 2022
About the service
Bretby Business Park - Enabling Others, is a domiciliary care agency and provides personal care and support to people with learning disabilities and/or mental health and complex needs, who require assistance in their own home. At the time of our inspection 10 people were being supported by the service. 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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services s supporting people with a learning disability and autistic people and providers must have regard to it.
People's experience of using this service and what we found
Right Support: People were happy with the care and support they received. People were supported by a regular team of staff who knew them well. This promoted continuity of care. Staff enabled people to access specialist health and social care 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.
Right Care: People's needs and preferences were assessed prior to receiving the service. People received consistent care from staff who knew them well. People and those important to them were involved in planning their care. Staff understood how to protect people from poor care and abuse. There were enough appropriately skilled staff to meet people's needs and keep them safe. Risk assessments identified and reduced any risks to people and staff.
Right Culture: The registered manager, nominated individual and staff listened and responded to people's views. They maintained oversight and daily monitoring of the service which was used to identify shortfalls and improve the service for the people who used it. People received good quality care, support and treatment because trained staff could meet their needs and wishes. People were supported to maintain good health, were supported with their medicines and had accessed healthcare services when needed. Staff prepared food and drink to meet people's dietary needs and preferences. People received care that was tailored to their needs.
Staff and the registered manager worked effectively with community health and social care professionals to ensure people's needs were met. People knew how to raise issues or complaints, and said the service was responsive to their needs. People felt consulted and involved in the running of the service.
We have made a recommendation around the development of more robust quality assurance systems.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 2 November 2021 and this was the first inspection.
Why we inspected
This was the first inspection of a newly registered service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect