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This assessment took place between 23 January and 10 February 2026. London Care - Brighton is a domiciliary care service registered to provide personal care to older people, including people who may live with dementia in their own homes. Our assessment was prompted by the previous rating of the service. The provider was previously in breach of legal regulations around safe care and treatment, staffing, safeguarding, dignity and respect, and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations. Overall people received safe care and support. The provider, with the support of their staff, provided person centred care that met people’s needs. People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain their independence within their own homes. Staff responded to people in a timely way. People had detailed information within their care plans to support the delivery of person-centred care. Risks were identified and measures were put in place to reduce these risks and protect people from harm. Staff had been recruited safely and received effective support from leaders. Where incidents occurred, the service learned from these to improve practice. People told us staff used personal protective equipment (PPE) when required. They had been involved and engaged in developing their care plans. People’s medicines were managed safely. The service worked well with other healthcare agencies. Professionals gave us positive feedback in respect to the care delivery. The service sought consent from people before providing care, and where people lacked capacity, the service worked in line with the Mental Capacity Act 2005 (MCA). The provider focused extensively on staff engagement, wellbeing and enablement, which supported staff to deliver compassionate, person-centred care. Leaders were knowledgeable and supportive, and staff felt able to approach them with any concerns. Staff were clear about their roles and responsibilities, and audits were effective in identifying improvements at the service.
npm run etl:reports -- --location 1-19830483984Date of assessment 2 October to 18 November 2024. The service is a care at home service providing support to adults of all ages living with dementia, a physical disability or sensory impairment. We found 5 breaches of regulations relating to safe care and treatment; safeguarding; dignity and respect; good governance and staffing. People were not always safeguarded against risk of avoidable harm. Staff and leaders had not always recognised incidents or safeguarding concerns. Medicines had not always been managed safely. The provider did not demonstrate lessons learnt or reduced risks to people. Where risks were identified to people's health and wellbeing, assessments had not consistently been completed to detail support needs or when to seek further professional advice. The culture of the service was not always open and positive. People were not always treated with kindness and respect. People raised concerns about some staff’s behaviour and lacking basic skills. Leaders did not always handle complaints in line with the provider’s policy. They had not adequately supported or monitored staff in their roles when things went wrong. The provider was working with the local authority to address concerns raised by professionals and people. They had an action plan in place. The provider told us they had not completed audits at a provider level as it was their policy to do this after 8 months. They were not aware of the shortfalls found during assessment. This meant the action plan and existing governance systems were not robust in identifying or effective in addressing areas for improvement. The provider has been receptive to feedback and provided us with an action plan to make improvements. However, this will take time to embed.
npm run etl:reports -- --location 1-19830483984.