Bright Intergrated Care Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults.

The Care Quality Commission (CQC) only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection 10 people were receiving ‘personal care’.

At our last inspection we rated the service ‘Good’. At this inspection we found the evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff had a good understanding of what safeguarding meant and the procedures for reporting abuse. People had risk assessments in place to cover any risks that were present within their lives, but also enabled them to be as independent as possible. All the staff we spoke with were confident that any concerns they raised would be followed up appropriately by the provider. Staffing levels were sufficient to meet people's needs. The staff recruitment procedures ensured that appropriate pre-employment checks were completed to ensure only suitable staff worked at the service.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people using the service. Staff were trained in infection control and supplied with appropriate personal protective equipment (PPE) to perform their roles safely. Arrangements were in place for the service to reflect and learn from complaints and incidents to improve safety across the service.

People's needs were assessed, and their care was provided in line with current guidance and best practice. People received care from staff that had received the right training and support to carry out their roles. Staff were well supported by the provider and one to one supervisions and observations of their practice took place.

Staff supported people to make healthy dietary choices to maintain their health and well-being. Staff supported people to attend appointments with healthcare professionals and worked in partnership with other organisations to ensure that people received coordinated and person-centred care and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People's consent was sought before any care was provided and the principles of the MCA were followed.

Staff treated people with kindness, dignity and respect and spent time getting to know people. People were happy with the way that staff provided their care and support and they were encouraged to make decisions about how they wanted their care to be provided. People felt listened to, their views were acknowledged and acted upon and care and support was delivered in accordance with their assessed needs and wishes.

Records showed that people were involved in the assessment process and their on-going care reviews. There was a complaints procedure in place to enable people to raise complaints about the service. The service had an open culture that encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service and this was used alongside other quality assurance systems to review all aspects of the service to drive improvement.

This inspection took place on 5 April 2016 and was announced. We gave the provider 48 hours' notice of our visit because the location provides a domiciliary care service and we needed to make sure that there would be someone at the office at the time of our visit.

Bright Integrated Care Ltd is registered to provide personal care. The registered location is situated in Leicester and provides care to people who live in their own homes in and around Warwickshire. They were four people using this service at the time of our inspection.

The service had a registered manager in post who was also the registered provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were kept safe from the risk of harm. Staff knew how to recognise signs of abuse and who to raise concerns with. People had assessments which identified actions staff needed to take to protect people from risks. People were supported to take their medicines safely.

People were supported by the number of staff identified as necessary in their care plans to keep them safe. There were robust recruitment and induction processes in place to ensure new members of staff were suitable to support the people who used the service.

Staff received a range of training to give them the skills and knowledge to ensure people were supported in line with their care needs and best practice. Staff told us that they felt supported and received regular supervision which supported staff to meet people's care needs.

The registered provider and staff we spoke with were knowledgeable of and acted in line with the requirements of the Mental Capacity Act 2005. Staff sought consent from people before providing support with personal care.

When necessary, people were supported to eat and drink and access other health care professionals in order to maintain their health.

People had positive relationships with staff and the registered provider. The registered provider sought out and respected people's views about the care they received. Staff promoted and upheld people's privacy and dignity.

The registered provider was responsive to people's needs and changing views. People and their relatives told us that care was provided in line with their wishes. People felt confident to raise concerns if they felt they needed to.

People, their relatives and staff were confident in how the service was led and the abilities of the registered provider. The registered provider undertook regular checks on the quality and safety of the service. They had established processes for monitoring and developing the quality of the care people received.