Barclay Specialist Care Ltd is a domiciliary complex care provider rated Outstanding overall, improving from Good at its previous 2018 inspection, with particular excellence in caring, responsive, and well-led domains. The service demonstrated exceptional person-centred practice, innovative communication, strong leadership culture, and outstanding outcomes for 16 people receiving personal care, including those with complex needs, learning disabilities, and autism.
Strengths
· People were empowered to take positive risks and had full choice and control over their lives, including involvement in recruiting their own care staff.
· Exceptional, compassionate care consistently reported by people and relatives, with staff going above and beyond their roles.
· Innovative communication approaches used, including eye-tracking technology, picture cards, and sign language, to ensure people could express preferences.
· Robust medicines management including STOMP principles, competency assessments, and daily medication administration records.
· Strong person-centred culture embedded throughout, with co-designed care plans and individually matched staff to people.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance, and the lawGood
effective: Staff support: induction, training, skills, and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityOutstanding
caring: Supporting people to express their views and be involved in making decisions about their careOutstanding
caring: Respecting and promoting people's privacy, dignity, and independenceOutstanding
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesOutstanding
responsive: Meeting people's communication needsOutstanding
responsive: Supporting people to develop and maintain relationships to avoid social isolationOutstanding
responsive: Improving care quality in response to complaints or concernsOutstanding
responsive: End of life care and supportOutstanding
well-led: Promoting a positive culture that is person-centred, open, inclusive, and empoweringOutstanding
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirementsOutstanding
well-led: Engaging and involving people using the service, the public and staffOutstanding
well-led: Working in partnership with othersOutstanding
Corby Enterprise Centre, a small domiciliary care agency registered in November 2017, was rated Good overall with an Outstanding rating for responsiveness at its first CQC inspection in October 2018. The provider demonstrated exceptional person-centred practice, innovative use of technology, and strong leadership, with no regulatory breaches or failure themes identified.
Strengths
· People were fully engaged in recruitment and selection of their own care staff, with choice and control over who supported them.
· Exceptional responsiveness: provider supported a person with complex needs to achieve a holiday abroad, resolving clinical, logistical and language barriers.
· Innovative use of assistive technology including brain-wave communication devices, text-to-speech apps, and electronic MAR with time-locked medication administration.
· Hospital passports implemented for all service users to improve hospital admission experiences.
· Strong person-centred culture with detailed one-page profiles covering history, culture, hobbies, goals and aspirations.
Quality-Statement breakdown (26)
safe: Safeguarding people from abuse and improper treatmentGood
safe: Staffing levels and deploymentGood
safe: Safe recruitment practicesGood
safe: Medicines managementGood
safe: Infection controlGood
safe: Accident and incident management and learningGood
effective: Assessment of people's needs and care planningGood
effective: Staff training and inductionGood
effective: Supervision and appraisal of staff
Good
effective: Nutrition and hydration supportGood
effective: Accessing healthcare servicesGood
effective: Mental Capacity Act and consentGood
caring: Treating people with kindness, compassion and dignityGood
caring: Supporting people to express their views and be involved in decisionsGood
caring: Respecting privacy and maintaining confidentialityGood
caring: Advocacy supportGood
responsive: Person-centred care and meeting individual needsOutstanding
responsive: Community engagement and supporting independenceOutstanding
responsive: Accessible information and communicationOutstanding
responsive: Complaints handlingOutstanding
responsive: End of life careGood
well-led: Vision, values and person-centred cultureGood
well-led: Quality monitoring and governance systemsGood
well-led: Staff development and engagementGood
well-led: Partnership working with external agenciesGood
well-led: Regulatory compliance and notifications to CQCGood