Breakthru Care Ltd

Updated 22 July 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 team comprised of 1 inspector and 1 Expert by Experience who made telephone calls to people and relatives. 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.

What we did before the inspection

We reviewed information we had received about the service since it registered. We sought feedback from the local authority and professionals who work with the service. 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 this information to plan our inspection.

Inspection activity started on 8 June 2023 and ended on 21 June 2023. We visited the location's office on 8 June 2023.During the inspection, we spoke with 4 people who use the service and 1 relative. We reviewed 5 people's care plans and risk assessments. We reviewed health documents for people. Compliance documents were also reviewed. These included medicines audits, staff competency assessments, training records and recruitment files.

We spoke with 2 directors, 1 who was also the nominated individual and the registered manager of the provider. A nominated individual is a person who supervises the management of a regulated activity across an organisation. We also spoke with 1 clinical lead, and 3 care staff

Updated 22 July 2023

About the service

Breakthru care is a small domiciliary care service, providing personal for people living within their own homes. At the time of the inspection there were 17 people using the service. At this inspection the service provided care for older people and people living with dementia.

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 found that people were safe, risks were identified for each person and control measures in place to prevent safety concerns. People told us they felt safe with the care they receive.

People and relatives we spoke with told us that they felt the service provided was of good quality and management and carers were all very caring.

We identified gaps in training, however the registered manager took immediate action during the inspection to ensure all staff members were fully trained.

People had person centred care plans in place that had been created listening to people’s choices and preferences along with relatives where appropriate.

The provider had systems and processes in place to oversee the service provided and to maintain a safe service. This included audits such as medication and environmental audits.

Systems in place to monitor the call times, including the check in and check out times were not effective due to WIFI issues within people’s homes. The provider had identified this before our inspection and had plans in place to improve the quality of this system.

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.

At the time of the inspection, the location did not support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Rating at last inspection

This service was registered on 17th February 2018, and this is the first inspection.

Why we inspected

This is the first inspection since the provider has registered with CQC.

Follow up

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

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