Bright Horizons Care Recruitment Limited received a Good rating across all five key questions on its first CQC inspection, with relatives reporting high satisfaction, consistent staffing, and no missed calls. Minor recruitment record weaknesses were identified, including a late DBS check and incomplete employment history verification, but these were remedied by the registered manager following inspection.
Concerns (3)
moderate
Staffing levels
: “Recruitment practices were not as robust as they should be, and improvements were required. A full employment history was not always explored and evidence of conduct from their most recent employer...was not always sought.”
moderateRecord keeping: “The Disclosure and Barring Service [DBS] checks for 1 member of staff were received after they commenced in post.”
minorStaff training: “Most staff had attained up to date training to enable them to carry out their roles and responsibilities. Where training gaps were identified, following the inspection the registered manager confirmed they had booked training for staff.”
Strengths
· People felt safe and relatives expressed high confidence in the service, including willingness to leave family members in its care during holidays.
· No missed or late calls reported; staff stayed for allocated time and went above and beyond when needed.
· Strong continuity of care with consistent staff allocation praised by relatives.
· Medicines administered correctly with appropriate MAR records and staff competency assessments.
· Positive end of life care evidenced through compliments, working with palliative care specialists.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills, and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive, and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks, and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood