Bright Intergrated Care Ltd

Updated 15 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was announced took place on the 23, 24 and 25 January 2019. We gave the service 48 hours' notice of the inspection visit because the service is a domiciliary care service. We needed to make arrangements to contact people using the service, relatives and staff, and make sure the provider was available.

The membership of the inspection team included two inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the previous report, information we held about the service and notifications we had been sent. Notifications are changes, events or incidents that providers must tell us about. We also requested feedback from commissioners involved with the service.

On the 23 January we made telephone calls to two people using the service and two relatives to seek feedback on their experience of using the service. We visited the agency office on the 24 January to meet with the registered manager / provider and review records. On the 25 January 2019 we made phone calls to three staff to seek feedback on their experience of working for the service.

We looked at records relating to the care of four people using the service. We also looked at other information relation to the management of the service. This included four staff recruitment records, staff training records, policies and procedures, and records relating to safeguarding, complaints and the overall management of the service.

Updated 15 February 2019

Bright Intergrated Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults.

The Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection 10 people were receiving ‘personal care’.

At our last inspection we rated the service ‘Good’. At this inspection we found the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff had a good understanding of what safeguarding meant and the procedures for reporting abuse. People had risk assessments in place to cover any risks that were present within their lives, but also enabled them to be as independent as possible. All the staff we spoke with were confident that any concerns they raised would be followed up appropriately by the provider. Staffing levels were sufficient to meet people's needs. The staff recruitment procedures ensured that appropriate pre-employment checks were completed to ensure only suitable staff worked at the service.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people using the service. Staff were trained in infection control and supplied with appropriate personal protective equipment (PPE) to perform their roles safely. Arrangements were in place for the service to reflect and learn from complaints and incidents to improve safety across the service.

People's needs were assessed, and their care was provided in line with current guidance and best practice. People received care from staff that had received the right training and support to carry out their roles. Staff were well supported by the provider and one to one supervisions and observations of their practice took place.

Staff supported people to make healthy dietary choices to maintain their health and well-being. Staff supported people to attend appointments with healthcare professionals and worked in partnership with other organisations to ensure that people received coordinated and person-centred care and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People's consent was sought before any care was provided and the principles of the MCA were followed.

Staff treated people with kindness, dignity and respect and spent time getting to know people. People were happy with the way that staff provided their care and support and they were encouraged to make decisions about how they wanted their care to be provided. People felt listened to, their views were acknowledged and acted upon and care and support was delivered in accordance with their assessed needs and wishes.

Records showed that people were involved in the assessment process and their on-going care reviews. There was a complaints procedure in place to enable people to raise complaints about the service. The service had an open culture that encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service and this was used alongside other quality assurance systems to review all aspects of the service to drive improvement.