BBcare10

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The personal care needs, medicines requirements and risks of the children/young people had been assessed by BBcare 10 managers in conjunction with their parents and relevant health professionals to ensure the service could meet their needs.

Staff confirmed that they had the information they needed to deliver safe and responsive personal care. However, we have made a recommendation to the provider to seek further guidance in promoting equality and diversity to protect children/young people and their families from unlawful discrimination.

Parents felt staff were knowledgeable in their role and supported their child effectively and with a caring manner. They confirmed that staff treated their child with dignity and respect and involved them in choosing how they would like to be cared for and supported.

Each child/young person was supported by a small staff team who knew them well. Systems were in place to ensure staff were competent to provide complex and personal care to the child/young person. Staff had been safely recruited, trained, supported and given time to understand the needs of the child/young person and the dynamics of their families.

Staff understood the importance of reporting any concerns that could lead to children/young people experiencing avoidable harm. Safe infection control and medicines management practices were being used by staff.

Quality assurance systems were in place to assist the registered manager and provider in monitoring the care being provided, staff development and the governance of the service. The provider valued feedback about the quality of care being delivered and used feedback, complaints and learnings from incidents as a way of monitoring and shaping the service.

Further development of the provider's processes was needed to ensure the provider remained open and transparent at all times with parents and other stakeholders when concerns were raised.