Archived: Bangladeshi Parents & Carers Association

Updated 13 August 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:

This inspection was carried out by an inspector and an assistant inspector. The inspection team included a Bengali speaker as people using and providing the service had Bengali as their first language.

Service and service type:

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to older adults and younger disabled adults.

The service had a manager who had applied to register with the Care Quality Commission but this application was still in progress. This means that they and the provider will be 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 this inspection. This is because the service is small and providing care to people in their own homes. We needed to be sure that someone would be in.

What we did before the inspection

We did not ask the provider to complete a provider information return (PIR). This is a document which asks for certain information about the service, including what they think they are doing well and their plans to develop the service in future. The provider had completed a PIR prior to their previous inspection in October 2018.

We reviewed information we held about the service, including notifications of serious incidents that the provider is required by law to tell us about.

During the inspection;

We spoke with the manager, office manager and two care workers.

We looked at records of care and support for both people who used the service.

We looked at records of recruitment, training and supervision for two care workers.

After the inspection:

We contacted a relative of one person who used the service. We were unable to contact the second person who used the service as they were out of the country.

Updated 13 August 2019

About the service:

Bangladeshi Parents & Carers Association is a domiciliary care agency which provides support to people living in their own homes. The service also provides day services and activities to people in several day centres in East London. At the time of our inspection the service was providing personal care to two people, one of whom was out of the country.

People’s experience of using this service:

People’s relatives told us that care workers treated their family members in a dignified way and did all that was required.

Managers contacted people and their families to ensure that they were happy with the service they received.

Care workers told us they felt well supported by managers and received enough training to carry out their roles. Care workers did not receive sufficient supervision or appraisals and there was no evidence of spot checks taking place.

Staff understood people’s needs and how best to support them but this was not well documented. The service did not effectively assess people’s support needs and the service did not have support plans in place.

The provider had assessed risks to people using the service, but did not have mitigation plans in place for some risks to people’s wellbeing.

Managers lacked a clear understanding of regulatory requirements and did not have suitable systems for auditing and improving the quality of the service.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. The service did not document people’s consent for their care or assess people’s capacity to make decisions for themselves.

Rating at last inspection:

We last inspected this service in October 2018. Due to the small number of people using the service we did not have enough evidence to provide a rating for this service.

Why we inspected:

This was a routine first ratings inspection.

Enforcement:

We have identified breaches of regulations concerning consent, staffing, person centred care and good governance. You can see what action we told the provider to take at the back of the full version of this report.

Follow up:

We will continue to monitor this service and will return within six months to check that improvements have been made.

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