Bright Homecare is a domiciliary care agency registered with the Care Quality Commission (CQC) to provide personal care and support to people living in their own homes. At the time of this assessment 9 people were receiving a home care service from this provider. The Care Quality Commission (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. The team who conducted this assessment consisted of an inspector. This on-site inspection was announced, and we gave the provider 24 hours’ notice. This was because we needed to be sure the registered manager would be available to support this assessment. We conducted our on-site assessment of this service on 17 October 2024 and off-site assessment activity continued until 23 October 2024. We looked at 5 quality statements including safeguarding; involving people to manage risks; safe and effective staffing; independence, choice and control and equity in experiences and outcomes. Staff and managers understood their duty to safeguard people from abuse and protect them from harm. Staff had received safeguarding training. The provider completed risk assessments and staff used these to support people in a safe way. There were enough staff employed to support people and meet their needs. Managers undertook robust checks when recruiting, staff were suitable to be employed and support people. Staff received regular and relevant training to meet people’s needs. People were supported to have choice and control and make decisions about how their care was provided. Staff supported people to remain as independent as possible. Staff treated people equally and fairly and reduced the risk of them of being excluded from receiving care and support they were entitled to.
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Bright Homecare Ltd received a Good rating across all five key questions at its first CQC inspection in January/February 2019, demonstrating safe, person-centred care delivered by consistent, well-trained staff. No failure themes were identified, with particular strengths in recruitment, medicines management, personalised care planning, and quality assurance.
Strengths
· Consistent staff allocation fostered trusting relationships and people felt safe with their regular carers
· Robust recruitment practices including DBS checks, references and proof of identity
· Registered manager was an accredited trainer delivering face-to-face induction mapped to the Care Certificate
· Medicines managed safely with monthly audits and spot checks of medication administration records
· Personalised, detailed care plans developed with involvement of people and their relatives
Quality-Statement breakdown (21)
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: Ensuring consent to care and treatment in line with law and guidanceGood
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: Supporting people to live healthier lives, access healthcare services and supportGood
caring: Ensuring people are well treated and supported; equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Planning and promoting person-centred, high-quality care and support; and how the provider understands and acts on duty of candour responsibilityGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving careGood