Background to this inspection
Updated
15 February 2024
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
This inspection was carried out by 2 inspectors and 1 Expert by Experience.
An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure the registered manager would be in the office to support the inspection. Inspection activity started on 16 October 2023 and ended on 25 October 2023. We visited the location’s office on 25 October 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
During the inspection
During the inspection we spoke with 13 people who used the service and 6 relatives. We also spoke with 8 care staff, 1 staff counsellor and the registered manager.
We looked at the care records for 12 people. We checked the care people received matched the information in their records. We looked at 4 staff files with regards to staff recruitment. We looked at records relating to the management of the service, including audits carried out within the service.
Updated
15 February 2024
About the service
Brockton Care Limited provides personal care within people's own houses and flats. At the time of our inspection 164 people, were using the service. 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.
The service was able to demonstrate how they were meeting underpinning principles of "Right Support, Right Care, Right Culture .
Right Support: The principles of the mental capacity act were not always observed to presume people had capacity unless indicated otherwise. Staff supported people to have the maximum possible choice, control and independence be independent and they had control over their own lives. People’s involvement in their care assessment ensured they received a service that reflected their preferences.
Right Care: The management of medicines placed people at risk of not receiving their medicines as directed by the prescriber. People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. Staff work practices ensured people were protected from the risk of avoidable infections.
Right Culture: The provider’s governance was ineffective to review and ensure staff received relevant training in relation to people’s health condition. Although, systems were in place to monitor calls, people at times experienced late and missed calls. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
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 5 April 2018).
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 good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, 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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Brockton Care Limited on our website at www.cqc.org.uk.