About the service: The Brett Lee Trust is a domiciliary care agency. It provides personal care to one person living in their own home.

People’s experience of using this service:

The staff had received training including the safeguarding of people, administration of medicines, infection control and epilepsy. The staff also informed us they had regular supervision and a yearly appraisal.

The service had sufficient members of staff to cover the rota and the systems to recruit staff safely were robust.

Support was planned to meet the assessed nutritional and health needs.

The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible.

A care plan and risk assessments had been written from an assessment of the person’s needs and was updated as necessary. The staff were aware of the contents of the care plan so that they understood the person’s needs and how to support them to meet their desired goal.

The person who used the service shared positive relationships with the staff. Their privacy, independence and dignity was respected. We observed staff listen to and support the person to make choices. The person’s relatives were involved in their care planning and the review of the care provided.

The person received a responsive service which was adaptable to support their needs depending upon how they felt during the day. There were systems in place to assess, plan and meet their individual needs and preferences. There was a complaints procedure in place.

The registered manager told us the aim of the service was to deliver person-centred quality care. The service provided was assessed and monitored by the registered manager and members of the trust to support the person using the service to meet their needs.

Rating at last inspection:

At our last inspection on 13 October 2016 the service was rated Good. The report was published on 18 November 2016.

Why we inspected:

We inspected the service as part of our inspection schedule methodology for ‘Good’ rated services.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

This inspection was announced and took place on the 13 October 2016. The Brett Lee Trust provides care and support to one person with a learning disability in their own home.

The service registered manager is a member of the provider’s management team. 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.

Care was provided for one person within a relaxed home environment. The registered manager had an awareness of the Mental Capacity 2005 although we were not assured that the appropriate authorisations regarding the person’s liberty were in place. We have made a referral to the appropriate authority.

The provider had received training in safeguarding people from abuse and was aware of what steps to take to protect the person. Risk assessments had been developed and risks managed so that the person was protected from undue risk. Medicines were stored safely and records kept of medicines received and administered.

The person was supported by a small, consistent team of care staff who were familiar with their needs. The person had access to health care services which meant their health care needs were met.

Meals were planned to support the person’s health needs. Dietary advice had been sought when required.

Consideration had been given to maintaining relationships that were important to the person. They

were supported with regular opportunities to participate in activities outside their home and sustain links in their local community.

Regular care reviews demonstrated that the provider worked in partnership with the local authority to provide good quality care.