The Broad Group Ltd

Updated 20 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One inspector undertook the inspection.

Service and service type:

This service is a domiciliary care agency. It provides personal care to people living in their own homes. It provides services to people living with dementia, learning disabilities, mental health conditions, physical disabilities and sensory impairments to older people and younger adults. At the time of this inspection one person was receiving support.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because it is small, and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

Inspection site visit activity started on 31 May 2019 and ended on 11 June 2019. We visited the office location on 31 May 2019 to see the registered manager; and to review care records and policies and procedures. We also returned to the office location on 3 June 2019 to look at staff recruitment.

What we did:

Before the inspection we looked at information we held about the service, including notifications they had made to us about important events. We asked the local authority commissioners if they had any information to share with us about the services provided at the service. Commissioners are people who work to find appropriate care and support services which are paid for by the local authority.

During the inspection, we spoke with the registered manager and looked at one person’s care records, and documents relating to the management of the service, including staff training records, recruitment, quality checks and meeting minutes.

Following the inspection, we received one person’s written comments about their support and spoke with one staff member about their role.

The registered manager also sent us information which included a care plan and medicine record. We considered this information and included it within this report.

Updated 20 June 2019

About the service: The Broad Group is registered as a domiciliary care agency providing the regulated activity 'personal care' to people who live in their own homes. At the time of this inspection there was one person using the service.

CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

People’s experience of using this service:

A person who used the service commented they received the care they needed from staff who were kind and to feel and be as safe as possible within their home. The person valued the same regular staff who supported them to meet their needs at the agreed times and were flexible if changes were required.

The registered manager was reviewing the person’s care plans, so they reflected the person’s up to date care needs with any potential risks to them to guide staff practices.

Environmental risks were also assessed within the person’s home to help avoid any potential accidents to the person who used the service or staff. Staff understood their responsibilities in reducing the spread of infections whilst undertaking their caring roles.

Staff were being recruited safely and there were enough staff to meet the support needs of people living in their own homes. Staff received appropriate training and they told us the training was good and relevant to their role. The registered manager was supported in their role and provided support to staff where they could discuss their ongoing development needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

The registered manager worked in partnership with health and social care professionals so a person who used the service was supported to remain healthy and well.

A person who used the service enjoyed positive relationships with the staff team and were treated with kindness and respect. The person’s independence was promoted by staff who encouraged them, and staff knew their needs and routines which were met and respected.

The provider had a complaints procedure and people knew how to complain and any comments or concerns were listened and acted on.

The registered manager provided consistent management and leadership and had identified areas for improvements. The registered manager was keen to gather people’s views and experiences, so they could develop the service based on these.

Rating at last inspection: This is the provider’s first inspection at their new location.

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up: We will continue to monitor the service through the information we receive until we return, as part of the inspection programme. If any concerning information is received, we may inspect sooner.

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