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Inspection carried out on 18 March 2019

During a routine inspection

About the service: Bright Future Care Ltd - (BFC LTD) is a domiciliary care agency providing personal care to people living in their own homes. At the time of the inspection, the service was supporting two people.

People’s experience of using this service:

People felt safe using the service and risks to people’s care were appropriately managed by a suitable number of well trained staff.

Risks to people’s care were assessed and appropriately mitigated.

Care workers understood the importance of good hygiene when working with people and ensured they provided people with hygienic care.

Decisions were not always made in line with people’s valid consent as decisions were not always made by people with the legal authority to do so and best interests assessments had not always been completed.

People needs and choices were assessed prior to the provision of care to ensure people received the care they wanted and that their needs were met.

People’s nutritional and healthcare needs were managed appropriately by care staff. People’s relatives told us care staff were kind and caring and respected their family member’s privacy and dignity.

Care workers assisted supported people to effectively communicate their needs and understood people’s cultural and religious needs.

The provider had an appropriate complaints policy in place.

The provider ensured a person- centred service and was directly contactable to people via the telephone.

Rating at last inspection: At our last inspection in May 2018 we were unable to rate the service as the provider had not been providing care to enough people over a sufficient period of time. We were unable to rate the service at this inspection for the same reason.

Why we inspected: This was a planned inspection based on our routine scheduling programme.

Follow up: We will continue to monitor information and intelligence we receive about the service until we return to visit as per our re-inspection guidelines. We may inspect sooner if any concerning information is received.

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

Inspection carried out on 31 May 2018

During a routine inspection

We conducted an inspection of Bright Future Care on 31 May 2018. This was our first inspection of the service since it was registered in July 2016. We had not been able to inspect this service previously as the service had not been providing care to people since its registration.

This service is a domiciliary care agency. It provides personal care for people living in their own houses and flats in the community. It provides a service to people of all ages. At the time of the inspection there was one person due to receive care from the service. The provider had also delivered a companionship service to one other person in April 2018, but this had been discontinued prior to our inspection. The provider had conducted initial assessments into the care to be provided, but had not finalised its care plan. This meant that although we were able to carry out an inspection we did not have enough information about the experiences of a sufficient number of people using the service over a consistent period of time to give a rating to each of the five questions and provide an overall rating to the service. Not everyone using Bright Future Care will receive a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. The person due to receive care from the service will receive personal care.

There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Initial assessments included sufficient information about the person’s medical and nutritional needs. The registered manager was clear about further information that was required in order to finalise the plan of care in these areas.

The provider had a good plan in place to monitor the quality of the service provided. The registered manager intended to conduct regular spot checks and monitoring conversations with the person due to use the service.

The registered manager had a good understanding of her responsibilities under the Mental Capacity Act 2005 (MCA). The person due to use the service had full capacity and was due to sign a contract and finalised care plan to demonstrate their consent to the service due to be provided.

The provider had an appropriate safeguarding policy and procedure in place. The registered manager had a good understanding of her responsibilities to safeguard people once they began using the service.

Information within initial assessments detailed the level of support the person needed and how care staff were expected to support them to maintain their independence.

The registered manager was clear about how she expected care workers to respect and promote people’s privacy and dignity.

Initial assessments contained preliminary information about the risks relating to the person and the registered manager had taken action to begin drafting an initial plan of care. The registered manager was clear about the risks associated with the person’s care.

Assessments contained initial information about the needs and preferences of the person due to receive care.

The person and their relatives were involved in the initial assessments and the registered manager was consulting them during the process of drafting the initial plan of care.

The provider was practicing safer recruitment procedures to help ensure that staff were suitable to work with the person. The registered manager was ensuring there were sufficient numbers of suitably qualified staff to meet the person’s needs.

The provider had an appropriate complaints policy and procedure in place. The registered manager h