Brisegene Care Ltd

Updated 23 November 2022

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

The inspection was carried out by one inspector and an 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 it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 13 October 2022 and ended on 20 October 2022. We visited the location’s office on 13 October 2022.

What we did before the inspection

We reviewed information we held about the service including any notifications received. We sought feedback from the local authority. 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 used all of this information to plan our inspection.

During the inspection

We spoke to the registered manager who is also nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with three relatives. At the time of inspection, the registered manager was the only member of staff employed. We reviewed a range of records. This included three people’s care records and one medicine record. We looked at one staff file in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 23 November 2022

About the service

Brisegene Care Ltd is a domiciliary care agency providing personal care to people. The service provides support to older people, younger adults who may also have a physical disability or dementia. At the time of our inspection there were three people using the service who received personal care.

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

The provider did not have effective systems in place to oversee the service and ensure compliance with the fundamental standards. We made a recommendation for the registered manager to review and improve information within people’s ‘as required’ medicine protocols and people’s risk assessments. We made a recommendation for the registered manager to review the services mandatory training to ensure it is in line with best practice.

The service had an open and transparent way of working to ensure the safety of the people using the service. The registered person knew people they supported well and cared about their wellbeing.

The registered manager understood their responsibilities to raise concerns and report incidents or allegations of abuse.

Relatives said people were treated with care, respect, and kindness by the staff visiting them. The service supported people to be as independent as possible. People felt involved in their care and the registered manager highlighted how care plans will be reviewed regularly in the future to meet the needs of the person.

People’s communication needs were assessed, and the registered manager was aware if a person required further support with their communication. People and relatives told us they were aware of how to raise a complaint with the service. 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 3 September 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.