Background to this inspection
Updated
14 March 2020
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 completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 unannounced.
Inspection activity started on 26 February 2020 and ended on 5 March 2020. We visited the office location on 2 and 5 March 2020 and on other dates spoke with people, family members and staff.
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 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.
During the inspection this
We spoke with six people who used the service and five relatives about their experience of the care provided. We spoke with ten members of staff including the registered manager who was also the nominated individual and provider of the service. The nominated individual is responsible for supervising the management of the service. We also spoke with the assistant manager, coordinator, care workers and administrative staff.
We reviewed a range of records. This included three people’s care records and multiple medicine records. We looked at a variety of records and policies relating to the management of the service.
Updated
14 March 2020
About the service
Burn Brae Care Limited is a domiciliary care service providing personal care to 160 people, with a range of needs, at the time of the inspection.
Burn Brae Care Limited also provides a responder to service to people living in extra care housing. 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 and their family members told us they felt safe being supported by the care staff, who were kind, caring and compassionate. Staff had been trained in safeguarding vulnerable adults and children and knew how to report concerns and minimise risk.
Improvements had been made to the way medicines were managed since the last inspection. Safe recruitment practises were followed. People said they were supported by regular staff who arrived on time, knew them well and stayed for the required time frame.
People’s needs and preferences for care and support were assessed on a regular basis and changes made to care plans as needed. People thought the staff were competent and professional. Staff said they were well trained and well supported by the management team who were always on hand if needed.
Staff worked in partnership with other care professionals such as speech and language therapy, physiotherapists and district nurses to make sure people received the care and support they needed. People said they were supported to attend medical appointments if needed.
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. Staff supported people in the way they requested and were respectful of people’s dignity, encouraging people to maintain their independence.
No one had any concerns or complaints about the service and said they thought everything was well managed. Various systems and processes were used to make sure people’s care was of a good quality. People were encouraged to share feedback on the service and the staff by way of regular visits from management and coordinators and also through an annual survey.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (report published 18 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.