BBcare10

Updated 30 December 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

This inspection was carried by two inspectors (a lead and children’s inspector) and 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 children and young people who live with their families.

The service had a manager 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

This inspection was announced.

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 or registered manager would be in the office to support the inspection.

Inspection activity started on 2 December 2021 and ended on 7 December 2021. We visited the office location on 2 December 2021.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work 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. We used all of this information to plan our inspection.

During the inspection

We spoke by telephone with nine parents of the children/young people who are supported by the service. We spoke with six members of staff including the provider, registered manager, administration assistant and three care staff.

We reviewed a range of records. This included the care records of four children/young people and their medication records. We looked at four staff files in relation to recruitment and staff development and support. 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 to validate evidence found. We looked at training data and quality assurance records.

Updated 30 December 2021

About the service

BBcare 10 is a domiciliary care service providing personal to children and young people in their own home and in the community. At the time of the inspection, 16 children or young people were receiving support from the service.

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

The provider and registered manager’s values were influenced by their personal experiences of supporting children/young people with complex needs. They were passionate about delivering good quality care to the children/young people and ensuring parents were supported.

The personal care needs, medicines requirements and risks of the children/young people had been assessed by BBcare 10 managers in conjunction with their parents and relevant health professionals to ensure the service could meet their needs.

Staff confirmed that they had the information they needed to deliver safe and responsive personal care. However, we have made a recommendation to the provider to seek further guidance in promoting equality and diversity to protect children/young people and their families from unlawful discrimination.

Parents felt staff were knowledgeable in their role and supported their child effectively and with a caring manner. They confirmed that staff treated their child with dignity and respect and involved them in choosing how they would like to be cared for and supported.

Each child/young person was supported by a small staff team who knew them well. Systems were in place to ensure staff were competent to provide complex and personal care to the child/young person. Staff had been safely recruited, trained, supported and given time to understand the needs of the child/young person and the dynamics of their families.

Staff understood the importance of reporting any concerns that could lead to children/young people experiencing avoidable harm. Safe infection control and medicines management practices were being used by staff.

Quality assurance systems were in place to assist the registered manager and provider in monitoring the care being provided, staff development and the governance of the service. The provider valued feedback about the quality of care being delivered and used feedback, complaints and learnings from incidents as a way of monitoring and shaping the service.

Further development of the provider’s processes was needed to ensure the provider remained open and transparent at all times with parents and other stakeholders when concerns were raised.

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 19 February 2021 and this is the first inspection.

Why we inspected

This service had not been inspected since their registration; therefore, this inspection was carried out to gain assurances about the quality of care and systems used to monitor and manage the service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.