Island Business Centre

Island Business Centre is domiciliary care agency providing care and support to people living in their own homes. At the time of our inspection there was one person receiving personal care.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not provide care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: 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 care was designed to meet their individual needs and preferences.

Right Care: Staff understood how to ensure people were protected from harm or abuse. Staff worked with people to identify and reduce the likelihood of risks to their wellbeing and activities. Staff understood people’s care and support needs and were supported by guidance on providing care in accordance with people’s individual needs and preferences. Staff liaised with other professionals to ensure people’s health needs were met.

Right Culture: Staff knew and understood people well and were responsive to their needs. Information was shared by the registered manager and staff to ensure people’s care was based on their current identified needs. Staff received the training and support they required to ensure people received effective care. The provider’s policies and procedures reflected current best practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 21 April 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Island Business Centre on our website at www.cqc.org.uk.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

People’s experience of using this service

Risks to people were not thoroughly assessed and management plans were not always in place to address risks people were exposed to. Care plans were not always person-centred. They did not cover people’s assessed needs and how to meet them. Recruitment checks were not robust to ensure staff who were employed, were suitable to work with people. People’s medicines were not managed in a way that protected their safety. The quality of the service was not effectively assessed to identify gaps in the service delivered.

There were enough staff available to deliver safe support to people. Staff had received training in safeguarding adults and knew actions to take to protect people from abuse. Staff followed infection control procedures to reduce risks of infection.

Staff assessed people’s needs following best practice guidance. People were supported to meet their nutritional and hydration needs. Staff supported people to access health and social care services to maintain good health. Staff liaised with other services to ensure people’s care and support were effectively planned and delivered.

Staff were supported to be effective in their roles. Staff were inducted into their roles; and received regular training, and supervisions. Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. 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 consented before care was delivered.

People were given choice and control over their care and support. Staff treated people with dignity and respect. People were supported to promote and maintain their independence.

People and their relatives knew how to complain if they were unhappy with the service. The views of people were sought about the service. The provider worked in partnership with other organisations to develop the service.

At this inspection we found breaches of regulations.

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 30 August 2019 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received, we may inspect sooner.

We were unable to fully assess the provider to determine whether the service was safe, effective, caring, responsive and well-led because people’s experience of the service was too limited to enable the provider to answer a number of the key lines of enquiry (KLOEs) that we assess services against. We have therefore not been able to award an overall rating for the service.

People’s experience of using this service:

Risk assessments were in place to prevent or reduce the risk of people being harmed. However, one person’s care plan included risk management guidance which was not covered in their risk assessments.

Relatives spoke positively about the service people received. They told us their needs were being met.

Processes were in place and appropriate infection control practices were followed.

Assessments were carried out to ensure people's needs could be met.

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.

People were supported to maintain good health.

People's privacy, dignity and independence was promoted.

Care and support was personalised to people’s individual needs.

A registered manager was in place and feedback from relatives was obtained to monitor the quality of service being provided.

Rating at last inspection

This is our first inspection of the service since registering with us on 4 July 2018.

Why we inspected

This inspection was part of our routine scheduled plan of visiting services to check the safety and quality of the care people received

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk