The Brett Lee Trust

Updated 8 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

What we did:

We spoke with the person who used the service, the registered manager, a relative and two members of staff.

We used information to plan the inspection that the provider sent us in the Provider Information Return. (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed the care record of the person who used the service, policies and procedures, records relating to the management of the service, assessments of need, risk assessments, medicine records and training records.

Updated 8 June 2019

About the service: The Brett Lee Trust is a domiciliary care agency. It provides personal care to one person living in their own home.

People’s experience of using this service:

The staff had received training including the safeguarding of people, administration of medicines, infection control and epilepsy. The staff also informed us they had regular supervision and a yearly appraisal.

The service had sufficient members of staff to cover the rota and the systems to recruit staff safely were robust.

Support was planned to meet the assessed nutritional and health needs.

The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible.

A care plan and risk assessments had been written from an assessment of the person’s needs and was updated as necessary. The staff were aware of the contents of the care plan so that they understood the person’s needs and how to support them to meet their desired goal.

The person who used the service shared positive relationships with the staff. Their privacy, independence and dignity was respected. We observed staff listen to and support the person to make choices. The person’s relatives were involved in their care planning and the review of the care provided.

The person received a responsive service which was adaptable to support their needs depending upon how they felt during the day. There were systems in place to assess, plan and meet their individual needs and preferences. There was a complaints procedure in place.

The registered manager told us the aim of the service was to deliver person-centred quality care. The service provided was assessed and monitored by the registered manager and members of the trust to support the person using the service to meet their needs.

Rating at last inspection:

At our last inspection on 13 October 2016 the service was rated Good. The report was published on 18 November 2016.

Why we inspected:

We inspected the service as part of our inspection schedule methodology for ‘Good’ rated services.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk