19 June 2019
During a routine inspection
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