Background to this inspection
Updated
24 December 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. 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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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. 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.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager and owner of the service.
We reviewed a range of records. This included three people’s care records and two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including quality monitoring documents.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and policies and procedures. We spoke with two relatives of people using the service and two care workers. We were unable to speak to people using the service, because due to their varying health needs, they were unable to communicate with us.
Updated
24 December 2019
About the service
Bright Future Care is a domiciliary care service providing personal care to four people at the time of the inspection. People using the service had varying needs. The provider gave personal care to one child, one person with Autism and Learning Disabilities who was unable to communicate with us and two people with dementia who could not communicate in English.
Not everyone who used the service received personal care. 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.
People’s experience of using this service
The provider ensured people took part in activities they enjoyed. Staff produced, clear plans of people’s care and communicated effectively with them. There was a clear complaints policy and procedure in place and people’s relatives told us they would contact the registered manager if needed. The registered manager took reasonable action to determine people’s end of life care needs.
People’s privacy and dignity, was maintained. Staff ensured people’s equality and diversity was respected and promoted. People were involved in decisions about their care and encouraged people to be as independent as they wanted to be.
People were protected from the risk of abuse and risks to people’s health and safety were assessed and mitigated. There were enough staff available to provide people with safe care. Pre- employment checks were conducted with candidates to ensure they were safe to work with people. The provider had an appropriate medicines and accident and incident policies and procedure in place.
People’s needs were assessed before they started using the service and care was delivered in line with current standards and professional advice. People’s health and nutritional needs were met and they had access to healthcare services.
People, their relatives and staff were consulted in relation to their care needs. The registered manager understood their duty of candour responsibilities. The registered manager and care workers understood and fulfilled their roles. The provider assessed the quality of the service and took appropriate action to improve the quality of care.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
At our last inspection in March 2019 we were unable to rate the service as the provider had not been providing care to enough people over a sufficient period of time.
Why we inspected
This was a planned inspection based on our inspection guidelines.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.