About the service Brightening Lives Ltd is a domiciliary care agency providing personal and nursing care to 19 people at the time of the inspection. 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
People were safeguarded from the risk of abuse or neglect. Risks were assessed and managed to minimise the risk of harm.
There were enough staff to meet people’s needs and they received support from the registered manager to provide high quality care. Staff received a comprehensive induction and ongoing training and development. We have made a recommendation about recruitment practices and procedures.
Medicines were managed safely. Risks associated with infection prevention and control were managed effectively. Staff monitored people’s food and fluid intake and worked with health and social care professionals to ensure people’s needs were met.
People were supported to make their own choices and were actively involved in making decisions about their care and support.
Staff treated people with dignity and respect. The provider had developed a culture of personalised care to meet people’s needs. Innovative methods were used to meet people’s communication needs and when seeking consent.
The service was not supporting anyone with end of life care. The provider had systems and processes in place to respond to complaints and concerns.
The registered manager acted within their duty of candour requirement and legal responsibilities. The registered manager was clear about their role and had a good oversight of risk and events within the service.
Staff regularly engaged with health and social care partners. People benefitted from a service which continuously learnt and developed.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People received care how they wanted it with a focus on choice and promoting independence. People were treated with dignity and respect with the care putting the person at the centre of decision making. The staff had the right approach by having a positive attitude, caring behaviours and supported people to lead confident, inclusive and empowered lives.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 October 2019 and this is the first inspection.
Why we inspected
This was a planned inspection as the service has not been inspected since registered with CQC.