25 October 2023
During a routine inspection
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.