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Brighton & Hove City Council - Brighton and Hove Home Care Good

Inspection Summary


Overall summary & rating

Good

Updated 15 February 2018

The inspection took place on the 6 November 2017 and was announced.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to adults, but predominantly to older adults, including people who may have a physical disability, a learning disability, sensory loss, mental health problems or people living with dementia living in Brighton and Hove. This is a responsive short-term reablement service for people who need support to regain their independence, but do not require any clinical care. Care and support is also provided for a small number of people who have complex care needs and receive long term care and support. At the time of our inspection around 80 people were receiving a service.

At the last inspection on 30 September, and 9 October 2015 the service was rated overall Good. At this inspection we found the service remained overall Good. At the last inspection the needs and choices of people had been clearly documented in their care and support plans. Where people’s needs changed, people’s care and support plans were reviewed to ensure the person received the care and treatment they required. However, the detail in people’s care and support plan was variable. At this inspection we found work had been undertaken to address this. People also told us they did not always have continuity of care staff providing their care. Feedback at this inspection was where possible this had also been addressed.

Systems had been maintained to keep people safe. People told us they felt safe with the care provided. People’s comments received included, “Lost my confidence going down stairs so they have helped me feel safe again, ”and “It’s like having a friend come in to help and keep you safe.” They knew who they could talk with if they had any worries. They felt they could raise concerns and they would be listened to. People remained protected from the risk of abuse because staff understood how to identify and report it. Assessments of risks to people had been developed. Staff told us they had continued to receive supervision, and be supported to develop their skills and knowledge by receiving training which helped them to carry out their roles and responsibilities effectively. One member of staff told us, “We are backed up very well by the office and managers. They are always only a phone call away. I’ve always been well supervised, every four to six weeks. They are hot on training. I’ve got NVQ Level 3, and done dementia awareness.” People told us care staff had the knowledge and skills to provide their care and support.

People's individual care and support needs continued to be identified before they received a service. Care and support provided was personalised and based on the identified needs of each person. People told us they felt listened to, supported to be independent and they were involved in decisions about their care. One person told us, “Carers have nice smile, put you at your ease, they have a very nice way allowing you to do things for yourself but not making you feel you ought to be able to do it and not rushing in just waiting for you to need help. It’s part of their professionalism you always feel like they are watching to keep you safe.” Staff had a good understanding of consent.

People were happy with the care provided. People continued to be supported by kind and caring staff who treated them with respect and dignity. They were spoken with and supported in a sensitive, respectful and professional manner. People’s comments included, “Can’t speak highly enough of the carers, brilliant people, didn’t know there were people like that around,” and “Can’t speak highly enough of the carers. Glad they are employed by Brighton and Hove Council which gives them good terms of employment. They are cheerful, willing flexible, if you need an extra ten minutes that’s OK. They say, and I believe them, that they love their work the

Inspection areas

Safe

Good

Updated 15 February 2018

The service remains Good

Effective

Good

Updated 15 February 2018

The service remains Good

Caring

Good

Updated 15 February 2018

The service remains Good

Responsive

Good

Updated 15 February 2018

The service is now Good.

This is because where possible continuity of care staff providing their care was ensured.

People had been assessed and their care and support needs identified. Care plans were in place which had been reviewed.

The views of people were welcomed, and people had received information on how to make a complaint if they were unhappy with the service.

Well-led

Good

Updated 15 February 2018

The service remains Good