Brisca Healthcare

Updated 9 May 2025

Date of Assessment: 3 July to 11 August 2025.

The service is a care at home service registered to provide support to teenage children, younger adults, older people, people living with dementia, people with a learning disability, autistic people, sensory impairment, mental health conditions and physical disabilities. At the time of inspection there were 26 people receiving the regulated activity. This was the first rated inspection of the service. A registered manager was in place, who was also the nominated individual (NI). The NI is registered with the Commission and is legally responsible to ensure that the service is compliant with legal and regulatory requirements.

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

People, relatives and staff spoke positively about the service and management. Staff received training to maintain high-quality care. There were enough staff with the necessary skills, qualifications and experience. People received effective and consistent care that met their needs. They were treated with kindness and compassion. Staff protected people’s privacy and dignity. Processes were in place to assess risks associated with people’s care and their home environment. People were protected and kept safe. Staff knew people’s needs, and detailed care plans were in place to help ensure people received person-centred care. Medicines were managed safely. People had choice in their care. Staff made sure people understood and were involved in decisions about their care and treatment. Accidents and incidents were investigated, action taken, and lessons learned. There was an effective quality assurance system to assess the quality of care in the service. Staff and leaders demonstrated a listening culture and were open to learning and improvements.

Updated 9 May 2025

People and relatives told us they received safe and person-centred care. Their comments included, “[Name] is safe. They feel safe and comfortable with staff. [Name] is safe because staff notice things” and “I do feel safe. Staff make me smile, laugh and giggle. I always feel great when I am with them. They are all trustworthy.” The service was exceptionally caring. Relatives, people and professionals told us how extremely kind, caring and supportive the staff were. Their comments included, “They [staff] are all trustworthy, very lovely people. I trust them with everything to do with [Name]’s care”, “Staff are very, very kind”, “Staff raise [Name]’s spirits a little bit before leaving. [Name] is so happy to see them. They smile when staff arrive”, “All staff are approachable, kind and welcoming”, “All of the carers we have now are excellent, however 3 of them are exceptional.” Relatives told us people received safe and consistent care from staff they knew. Their comments included, “The same staff come so they all know [Name]. They are [Name]’s best friends”, “Staff are always the same ones. [Name] knows them and has a good relationship with them all.” Relatives and people all said they were listened to, had opportunities to give feedback and any concerns were addressed. Comments included, “Staff listen to me all the time. They are very considerate”, “Staff listen to [Name]. They explain everything they are doing, and check [Name] is ok with that before they start any care for them”, “I have not had to complain. If I did need to, I would call the office”, “I did raise a concern and staff listened and now it is all sorted.” People and relatives were positive about the open culture of the service, and management. Their comments included, “Everything is done really well as a result of good leadership”, “All the staff including the managers are always happy and smiling” and “The service runs like clockwork. Nothing could be improved.”