We carried out a review of the data available to us about Bridge Cross Care 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 Bridge Cross Care Ltd, you can give feedback on this service.
About the service
Bridge Cross Care Ltd is a domiciliary care agency in the London Borough of Greenwich. It provides personal care and support to people living within their own homes. At the time of our inspection there were three people using the service.
People’s experience of using this service and what we found
We found improvements had been made since the last inspection. There were some minor inconsistencies about responding to complaints which the provider had acted on.
People told us they were happy with the standard of care and support they received from staff. Risks to people had been identified assessed and staff had guidance on how to minimise risks. Staff understood how to protect people from the risk of abuse or neglect. There were enough staff deployed to meet people’s needs and appropriate recruitment checks were carried out before staff began working at the service. There were systems in place to ensure medicines were managed safely if required. Procedures were in place to reduce the risk of infections and staff had enough personal protective equipment.
People had a person-centred care plan which was reviewed regularly to ensure their needs were met. People told us they knew how to make a complaint if they were unhappy with the service. People had access to information about the service in a format that met their needs.
There were systems in place to monitor the quality of service, regular audits and unannounced check were carried out on staff practices. People and their relatives' views about the service were sought regularly to drive improvements. Staff said they felt supported by the registered manager.
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 29 March 2021) 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.
Why we inspected
This inspection was prompted by a review of the information we held about this service. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
We carried out an announced comprehensive inspection of this service on 22 February and 24 February 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bridge Cross Care Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Bridge Cross Care Ltd is a domiciliary care agency in the London Borough of Greenwich. It provides personal care and support to people living within their own homes. Not everyone using Bridge Cross Care Ltd 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. At the time of our inspection the service was providing care and support to three people receiving the regulated activity.
People’s experience of using this service
Risks to people's health and well-being were not always safely assessed, documented and monitored to ensure their safety. Medicines were not always safely managed. PRN (when required medicines) protocols and risk assessments were not in place to guide staff when medicines needed to be administered, what doses were required and the symptoms for staff to look for to ensure medicines were safely managed and people’s well-being was maintained. Assessments of people’s needs were mostly carried out before they started using the service, but this required improvement to ensure their needs could promptly and safely be met. Audits and checks to help support management oversight in ensuring good service delivery were not robust or effective in identifying the concerns we found during this inspection.
People and their relatives spoke positively about staff and told us they were happy with the service they received. There were safeguarding policies and procedures in place and staff had a clear understanding of these procedures. Safe recruitment checks took place before staff started work and there were enough staff to meet people’s needs. There were procedures in place to reduce the risk of infections and staff had enough personal protective equipment (PPE).
People received support to maintain good health and were supported to have a balanced diet where this was part of their plan of care. 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 were treated in a kind, caring and respectful manner and were consulted about their care and support needs. People knew how to make a complaint if they were unhappy with the service. The provider took people’s views into account and feedback was used to help improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This was the first inspection of the service since the provider registered with the CQC in October 2019.
Why we inspected
We received some concerns in relation to staff and management oversight. As a result, we undertook a comprehensive inspection of the service.
Enforcement
We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
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.