29 July 2022
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 Health and Social Care Act 2008.
A single inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post. The registered manager was also the registered provider.
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 would be in the office to support the inspection.
What we did before inspection
We reviewed information we received about the service. We asked the provider to send us information in relating to staff training and meetings, quality monitoring, policies relating to medicines and infection control. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used this information to plan our inspection.
During the inspection
We spoke with a relative of a person using the service about their experience of the care provided. We spoke with a member of staff and the provider. We reviewed a range of records. This included a person using the service’s care records and medicines records. We looked at staff files in relation to recruitment and a variety of records relating to the management of the service, including the quality monitoring systems and audits.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
29 July 2022
Bromley (Translucence Care) is a domiciliary care agency. It provides care and support for people living in their own homes. 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. There was one person using the service at the time of the inspection.
People’s experience of using this service and what we found
There were safeguarding adults’ procedures in place, the provider and staff understood these procedures. Risks to people were assessed and staff were aware of the action to take to minimise risks where they were identified.
People received support from trained staff to take their medicines safely. Recruitment checks were carried out before staff started work and there were enough staff to meet people’s needs. The provider and staff were following the current government guidance in relation to COVID 19.
Staff received training relevant to people’s needs. People’s care needs were assessed, and care plans were in place to ensure staff could support them safely. People received support to maintain a balanced diet.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
People were treated in a caring and respectful manner and they were consulted about their care needs. Relatives said they knew how to make a complaint if they were unhappy with the service. People had access to end of life care and support if it was required.
There were effective systems in place to monitor the quality of service. Staff said they were happy working at the service, and they received good support from the provider. The provider took people and their relatives views into account through satisfaction surveys and telephone monitoring calls.
The provider had a business continuity plan in place that made provisions for safe care in the event of an emergency. The provider and staff worked with health care providers to plan and deliver an effective service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was requires improvement (published 18 August 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.