Brisca Healthcare Ltd was rated Good across all five key questions at its January 2023 inspection, maintaining its previous Good rating from 2019. A recommendation was made regarding best practice for recruiting staff who disclose criminal history, but no regulatory breaches were identified.
Concerns (2)
minor
Staff training
: “One member of staff had made disclosures about their criminal record...it wasn't initially clear how risks to people were mitigated as the discussions held were not detailed on the documentation we reviewed.”
minorRecord keeping: “We initially had concerns that some risk assessments were not reviewed in a timely fashion...some risk assessments had not appeared to have been reviewed on paper.”
Strengths
· Robust recruitment processes with criminal record, identity and employment history checks in place.
· Medicines managed safely with regular MAR audits and staff trained in medicine administration.
· Staff received inductions, regular training including safeguarding, moving and handling, and infection control.
· Regular supervision through 1-to-1 meetings, group meetings and annual appraisals.
· People and relatives expressed high satisfaction with the care and attitude of staff.
Quality-Statement breakdown (22)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
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: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
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
responsive: End of life care and supportGood
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 staff; Continuous learning and improving careGood