Brisca Healthcare Ltd

Updated 25 March 2023

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 one 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. As a domiciliary care agency, it provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. Inspection activity started on 17 January 2023 and ended on 02 February 2023. We visited the location’s office on 17 January 2023.

What we did before inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who worked with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people and 8 family members about their experience of the care provided. We spoke with 12 members of staff including 9 care staff, a compliance manager, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 8 people’s care and or medicine administration records. We looked at 5 staff files in relation to recruitment and staff management. We also viewed a variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 25 March 2023

About the service

Brisca Healthcare Ltd is a domiciliary care agency that provides personal care to people their own homes. 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. They were providing personal care to 80 people at the time of the inspection.

The provider has also registered a supported living service with us under this registration, but there were no people using it at the time of this inspection.

People’s experience of using this service and what we found

Staff recruitment was robust and there were enough staff to support people’s needs; however, we have made a recommendation about following best practice with respect to employing people who disclose a criminal history.

There were systems in place to safeguard people from abuse. Risks to people were recorded and mitigated. Medicines were managed safely. Staff were trained on infection prevention control and there were systems in place around this to keep people safe. Incidents and accidents were recorded so the provider could learn from these events when they occurred.

People’s needs were assessed so the service was able to understand and meet people’s needs. Staff received inductions, were trained and provided with management supervision. Staff worked with other health and social care professionals to provide people with effective care. People were supported to eat and drink where required. 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. People’s consent was sought when care was provided, and they were given appropriate choices by staff.

People and relatives told us they were treated well by staff. People’s equality and diversity characteristics were respected as was their privacy and dignity. People and relatives were able to express their views about the care provided. People were encouraged to be independent.

People’s care needs were recorded and reviewed through regular care planning. People’s communication needs were met by staff and their communication needs and preferences recorded in care plans. People and relatives were able to complain, and the service responded to complaints appropriately. The service supported people effectively who were at the end of their lives.

The service promoted person-centred care and the management were highly regarded by people, relatives and staff. The registered manager and staff were clear about their roles and the provider understood and fulfilled their regulatory requirements. People and staff could engage with the service and provide feedback about how the care was managed. The provider had quality assurance systems in place which provided a means to continuously learn and improve care. The service worked in partnership with other agencies to support people with their needs.

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 15 October 2019).

Why we inspected

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

Recommendations

We have made a recommendation about following best practice with respect to recruiting people who disclose a criminal history.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.