We carried out a review of the data available to us about Brisca Healthcare Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Brisca Healthcare Ltd, you can give feedback on this service.
Brisca Healthcare Ltd is a domiciliary care agency that provides personal care to people their own homes. 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. They were providing personal care to 80 people at the time of the inspection.
The provider has also registered a supported living service with us under this registration, but there were no people using it at the time of this inspection.
People’s experience of using this service and what we found
Staff recruitment was robust and there were enough staff to support people’s needs; however, we have made a recommendation about following best practice with respect to employing people who disclose a criminal history.
There were systems in place to safeguard people from abuse. Risks to people were recorded and mitigated. Medicines were managed safely. Staff were trained on infection prevention control and there were systems in place around this to keep people safe. Incidents and accidents were recorded so the provider could learn from these events when they occurred.
People’s needs were assessed so the service was able to understand and meet people’s needs. Staff received inductions, were trained and provided with management supervision. Staff worked with other health and social care professionals to provide people with effective care. People were supported to eat and drink where required. 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’s consent was sought when care was provided, and they were given appropriate choices by staff.
People and relatives told us they were treated well by staff. People’s equality and diversity characteristics were respected as was their privacy and dignity. People and relatives were able to express their views about the care provided. People were encouraged to be independent.
People’s care needs were recorded and reviewed through regular care planning. People’s communication needs were met by staff and their communication needs and preferences recorded in care plans. People and relatives were able to complain, and the service responded to complaints appropriately. The service supported people effectively who were at the end of their lives.
The service promoted person-centred care and the management were highly regarded by people, relatives and staff. The registered manager and staff were clear about their roles and the provider understood and fulfilled their regulatory requirements. People and staff could engage with the service and provide feedback about how the care was managed. The provider had quality assurance systems in place which provided a means to continuously learn and improve care. The service worked in partnership with other agencies to support people with their needs.
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 (published 15 October 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Recommendations
We have made a recommendation about following best practice with respect to recruiting people who disclose a criminal history.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
About the service
Brisca Recruitment and Domiciliary Care Ltd is a domiciliary care agency that provides personal care to older people and younger disabled adults in their own homes. 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. They were providing personal care to 45 people at the time of the inspection.
People’s experience of using this service and what we found
Sometimes staff were late for calls, however people were happy with the service they received. The service management were working on ways to address timeliness. Recruitment processes were robust. There were safeguarding systems and processes to keep people safe. Risks to people were monitored and mitigated against. People’s medicines were managed safely. Staff understood the need for infection prevention. The service sought to learn lessons when there were incidents and accidents.
People’s needs were assessed before they used the service. Staff were supported through induction, training, and supervision. People were supported appropriately to eat healthily. Staff worked with other agencies, including health professionals, to provide effective care. 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 were well treated and thought highly of staff. Policies and procedures at the service supported equality and human rights. People expressed their views and had input into their care. People's privacy and dignity were respected. People were encouraged to be independent.
People's care plans were personalised and provided instruction so staff could provide them with care in a way they preferred. People’s communication needs were met. People knew how to make complaints and the service responded appropriately when complaints were made. The service could support people at end of life.
People thought highly of the service management. The service management focused on being person centred. Staff knew their roles and responsibilities. People and staff were able to feedback about the service and be involved with decision making about their care.
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 and only previous rating for this service was good (published 17 March 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.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People and their relatives told us they felt safe and that they were treated with dignity and respect. They were supported by a consistent set of staff and told us they were always kept informed if staff were running late. There were no missed visits since October 2016.
Staff were aware of the procedures in place to safeguard people from avoidable harm and had attended safeguarding adults training. They were able to explain how they identified and reported any allegations of abuse.
Medicines were managed safely by staff who had received appropriate training and were aware of the potential side effects of the medicines people received.
People were supported to eat a balanced diet which incorporated their individual or cultural preferences.
Before people started to use the service, assessments took place and care plans were developed with people and their relatives. Care plans were reviewed and reflected people’s social, emotional and physical needs as well as their individual preferences.
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 supported this practice.
Staff received mandatory training and underwent a comprehensive induction program when they first started. This included shadowing experienced staff to ensure they knew people’s needs and how to support them effectively. Although spot checks and supervisions were in place, these were not always documented. We made a recommendation about best practice guidelines. There was an appraisal system in place which was yet to be implemented as none of the staff had been with the service for year.
People and their relatives told us they were able to make complaints when required and felt their requests were listened to.
There were effective systems in place to ensure the quality of care delivered was monitored and improved.