LightBulb Bespoke Care

Updated 4 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

This inspection was completed by one inspector.

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 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

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 19 October 2022 and ended on 21 October 2022. We visited the location’s office on 20 October 2022.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and three relatives about their experience of the care provided. We spoke with seven members of staff including care workers, care co-ordinators and the registered manager.

We reviewed a range of records. This included three people’s care records and numerous medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 4 November 2022

About the service

LightBulb Bespoke Care is a domiciliary care service providing personal care to people living in their own homes in the community. The service provides support to older and younger adults who may be living with a physical disability, mental health needs, a sensory impairment or 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. At the time of our inspection there were 14 people receiving personal care at the service.

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

People and relatives were happy with the support given by the staff team. One person told us, ‘‘I am very happy with how things are going. The staff are all wonderful.’’

People felt safe being supported by the staff team. The registered manager had assessed risks to people and put measures in place to mitigate risks as far as possible. There were enough staff to support people safely. People told us there had been no missed care visits and staff arrived on time for their care visits. Staff supported people safely with their medicines and followed good infection and prevention control (IPC) measures when supporting people. Systems were in place to learn lessons if things went wrong.

Staff had training to support people effectively and the management team checked their competency to perform their job roles. People’s needs were assessed before they started using the service. Staff supported people to eat and drink if this support was needed. Staff supported people to see health professionals and followed professional advice to help support good outcomes for people. 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.

The registered manager and care co-ordinator were passionate about the service. People were positive about how the service had improved since the registered manager started in their job role. Systems were in place to audit and monitor the quality of the service. Actions were taken if improvements were identified. People, relatives and the staff team were engaged with and encouraged to feed back about the service. The staff team worked with other professionals to help support good outcomes for people. There had been significant improvements at the service since the registered manager started working there.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 21 December 2021)

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended the provider review systems in place to safely recruit staff, support people in line with the Mental Capacity Act and collect feedback from people and the staff team about the service. At this inspection we found the provider had made improvements in these areas.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We carried out an announced unannounced comprehensive inspection of this service on 06 October 2021. Breaches of legal requirements around safe care and treatment, staffing and good governance were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve and updated us on their progress on a monthly basis.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

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 has changed from requires improvement to 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 Light Bulb Bespoke Care 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.