27 April 2023
During an inspection looking at part of the service
A & B Healthcare Limited – Bridlington is a domiciliary care service providing personal care for people who are living with dementia, mental health conditions, physical disability, sensory impairment, older people, younger adults and people with a learning disability and/or autism in their own home. At the time of our inspection 113 people received support from the service.
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 Care Quality Commission (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.
Right Support:
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff communicated with people in ways that met their needs. People were supported to take part in activities and staff promoted independence. Staff wore personal protective equipment (PPE) appropriately which helped to protect people from the risk of infection. Medicines were managed safely.
Right Care:
Staff understood how to protect people from poor care and abuse. There were enough appropriately skilled staff to meet people’s needs and keep them safe. Care plans were detailed and person-centred and provided clear guidance to staff on how to care for people effectively. Care plans were regularly reviewed and updated when required. Staff assessed people’s risks appropriately and encouraged and enabled people to take positive risks.
Right Culture:
People and their relatives told us the management and staff were approachable and knowledgeable. Regular audits carried out helped improve the service when needed. Staff told us they enjoyed their job and making a positive difference to someone’s life. People and those important to them were involved in planning their care and staff evaluated the quality of care supported to people, involving the person, their families, and other professionals as appropriate.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.
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 18 February 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for A & B Healthcare Limited – Bridlington 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.