14 August 2019
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.
One inspector carried out this inspection with an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
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 two managers 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 five days’ notice of the inspection because some of the people using it could not consent to a phone call from us. This meant that we had to arrange for a ‘best interests’ decision about this.
What we did before the inspection
The provider completed a Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. However, the provider had completed this nine months previously and we therefore gave opportunities for them to update us throughout the inspection.
During the inspection-
We spoke with nine people and five relatives on the telephone. At the registered office, we spoke with five staff and the two registered managers. We received feedback from three social care professionals.
We reviewed a range of records which included five people’s care records and risk assessments. Medicine records and daily log sheets. We also reviewed the records which detailed when people had their support visits, quality monitoring visits and records relation to the management of the service.
14 August 2019
About the service
Bradcare Ltd is a domiciliary care service providing personal care to younger adults and older people in and around Swadlincote. The service currently provides a service for 60 people. 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 and what we found
People felt safe with staff members who knew how to identify potential harm and report their concerns. Where staff suspected any abuse, they knew how to act to ensure people were protected from further harm. Checks were carried out prior to staff starting work, to ensure their suitability to work with people who used the service.
Care records included assessment of risk and staff knew how to reduce the risk of potential harm. People usually received support from the same staff team and they knew who was providing their support in advance. The provider was flexible and responsive to changes for support times. There were sufficient numbers of staff to ensure visits were made when they should be and to meet people’s care needs.
People received their medicine and were supported to apply any creams or ointments they needed to maintain their health. People received the assistance they required to have enough to eat and drink.
People chose how they wanted to receive their care and where they lacked capacity to make decisions, a best interest decision was made with people who were important to them. 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.
Positive and caring relationships had been developed between staff and people who used the service. People were treated with care and kindness and staff were friendly and respectful. People benefitted from having support from staff who had a good understanding of their individual needs.
Staff provided personalised care that people had requested and knew people well. The support people wanted was regularly reviewed to ensure it continued to meet their needs.
People knew how to make a complaint if they needed to. People and staff were confident they could raise any concerns or issues, knowing they would be listened to and acted on.
There were processes to monitor the quality of the service provided and understand the experiences of people who used the service and plan ongoing improvements. People who used the service and staff felt involved and able to make suggestions to support the development of ongoing improvements.
Rating at last inspection.
The service was rated Good at our last inspection. (Published December 2016)
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bradcare Limited on our website at www.cqc.org.uk.
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.