Background to this inspection
Updated
3 August 2021
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. 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.
Inspection team
The inspection was carried out by one inspector.
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 did not have a manager registered with the Care Quality Commission at the time of the inspection. However, we spoke with the person who had applied to register for this role. A registered manager, like the provider, is 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 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 02 June 2021 and ended on 30 June 2021. We visited the office location on 08 June 2021.
What we did before inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who worked with the service. The provider was not asked to complete a provider information return prior to this inspection. 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. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with one person who used the service about their experience of the care provided via telephone. We spoke with three members of staff including one care staff, the former registered manager who intended to become the nominated individual and the current nominated individual who intended to become the registered manager. A nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included one person’s care and medicine administration records. We looked at one staff file in relation to recruitment and staff supervision. We also viewed a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider regarding medicine management and quality assurance to validate evidence found. The provider sent us documentation we sought.
Updated
3 August 2021
About the service
Bright London Care Limited is a domiciliary care agency that is registered to provide personal care to older people, people with dementia, younger adults, people with physical disability and people with learning disabilities or autistic spectrum disorder. At the time of our inspection the service was providing personal care to one person.
People’s experience of using this service and what we found
Medicines were managed safely. Risks to people were recorded and mitigated. People were supported to be safeguarded from abuse as there were systems in place to support staff such as training and policies to follow. Staff recruitment was robust, and people told us staff were punctual. Staff understood the importance of infection prevention control. There had been no incidents or accidents, but the provider had systems in place to learn from them when they occurred.
People’s needs were assessed before they began using the service so the provider knew they could meet their needs. Staff received inductions before starting work, so they knew what to do when they started working with people. People were supported with their health care needs and staff communicated with each other to ensure people received effective care. People were supported to eat and drink. 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. People consented to their care and staff followed their decisions.
People told us staff were caring and respected them. People were supported to make their decisions in their care which was reviewed regularly. People’s privacy and dignity was respected, and their independence promoted.
Care plans were person centred and staff knew what people liked. People’s communication needs were met. People were supported with activities if they wanted to. There had been no complaints, but people were provided information how to do so. People’s end of life decisions was recorded.
People and staff were pleased with how the service was managed. The provider and service were new and still adapting how they worked. Management were open to change and improvement and wanted what was best for people using the service. They knew about their duty of care and regulatory requirements. People were able to be engaged in the service and provide feedback about the care. Staff could provide input into the service through meetings and supervision. There were quality assurance measures in place. The provider hoped to expand their networks and work with others following the lifting of pandemic restrictions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 07/10/2019 and this is the first inspection.
Why we inspected
This was a planned inspection as the service had never been inspected before.
Follow up
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.