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.