About the service: Brisen Company Limited is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a personal service to both older adults and younger disabled adults. At the time of our inspection, five people were using the service.

People’s experience of using this service:

¿ Staff understood signs to recognise abuse and how to report suspected abuse. Staff knew actions to take to protect people from abuse.

¿ Risks to people were assessed and plans put in place to reduce identified risk.

¿ Staff were sufficient and adequately deployed to support people with their needs.

¿ The service had a policy and procedure on the safe management of medicines. No one was receiving support with their medicines when we visited.

¿ Staff were trained to reduce the risk of infection.

¿ The service had systems in place to report incidents and accidents and staff knew about these procedures.

¿ The registered manager involved people and their relatives in the assessment of their needs. They planned people’s care based on their assessed needs and preferences.

¿ Staff were supported through training and supervision to provide effective care to people.

¿ Where required, people received support from staff to meet their nutritional needs.

¿ People were supported to access the health care services they needed to maintain their health. The registered manager liaised effectively with other services to ensure people received well-coordinated care.

¿ 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 supported this practice. Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. Staff involved people in their care delivery and ensured people consented before they delivered care.

¿ People told us that staff treated them with kindness and respected them as individuals.

¿ Staff respected people’s dignity and privacy. People were encouraged to maintain their independence as much as possible.

¿ People and their relatives told us that they were involved in their care and their choices and preferences were respected.

¿ Staff supported people in a way which met their individual needs. Staff respected people’s diversity. The service considered people’s language needs and communicated with them in the way they understood.

¿ People knew how to report their concerns or complaints about the service.

¿ The registered manager had experience in providing end of life care. At the time of our visit no one was receiving end of life care.

¿ The registered manager assessed and monitored the quality of service delivered through spot checks, monitoring visits and audits.

¿ The service ensured that the service delivered to people met their needs.

¿ The registered manager understood their role and responsibilities in line with their registration requirements.

¿ People, relatives and staff were involved and engaged in planning and delivering the service.

¿ The registered manager worked in partnership with the local authority to develop the service and meet people’s needs.

Rating at last inspection: This was the first inspection of the service since they registered with the CQC in January 2018.

Why we inspected: This was a planned inspection based on our guidance about newly registered services.

Follow up: We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.