# Brand Healthcare

*Operated by Brand Healthcare Services Ltd.*

Brand Healthcare is a CQC-regulated home-care agency in Rainham.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 11/09/2019

## Practical info

- Postcode: RM13 8EU
- Registered manager: Akindele, Tonia
- Local authority: Havering
- Region: London
- City: Rainham
- Last CQC check: 11/Sep/2019 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: People and staff spoke positively about the registered manager as approachable and responsive.
  - Published: 2020-01-29
- Finding
  - Evidence: The service worked collaboratively with occupational therapy, speech and language therapy, and other professionals.
  - Published: 2020-01-29
- Finding
  - Evidence: Infection control measures were in place including use of gloves, aprons, and hand hygiene.
  - Published: 2020-01-29
- Finding
  - Evidence: End of life care plans were in place and the service worked with other agencies as appropriate.
  - Published: 2020-01-29
- Finding
  - Evidence: The service had a complaints procedure in place and responded to complaints promptly.
  - Published: 2020-01-29
- Finding
  - Evidence: Care plans were personalised, detailed, and subject to regular review.
  - Published: 2020-01-29
- Finding
  - Evidence: The service operated within the principles of the Mental Capacity Act 2005, with mental capacity assessments carried out.
  - Published: 2020-01-29
- Finding
  - Evidence: People were supported by the same regular care staff, promoting continuity and good relationships.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received individual one-to-one supervision every two months.
  - Published: 2020-01-29
- Finding
  - Evidence: Staff received regular training including induction, Care Certificate, medicines, moving and handling, dementia, and first aid.
  - Published: 2020-01-29
- Finding
  - Evidence: Risk assessments were in place covering moving and handling, falls, medicines, and the physical environment.
  - Published: 2020-01-29
- Finding
  - Evidence: People told us they felt safe using the service and spoke positively about caring, respectful staff.
  - Published: 2020-01-29
- **care_planning** _(minor)_
  - Evidence: Not all care plans included [life history]. It was only included in one of the four care plans we reviewed.
  - Published: 2020-01-29
- **missed_or_late_visits** _(moderate)_
  - Evidence: For one member of staff in that period they had six appointments and had only logged in and out for one of them.
  - Published: 2020-01-29
- **record_keeping** _(moderate)_
  - Evidence: Two staff had left this section of their application form blank and there was no other record on the file to account for this.
  - Published: 2020-01-29
- **record_keeping** _(moderate)_
  - Evidence: The registered manager told us they did not usually keep a record of these monitoring calls and was only able to produce three such records during the inspection.
  - Published: 2020-01-29
- **governance** _(critical)_
  - Evidence: Lack of effective quality assurance and monitoring systems and poor record keeping were a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014.
  - Published: 2020-01-29
- **safeguarding** _(critical)_
  - Evidence: The registered manager was not aware of their responsibilities with regard to safeguarding...they would only report a safeguarding if the alleged victim agreed to this
  - Published: 2020-01-29
- **medication_management** _(critical)_
  - Evidence: They contained three instances where correction fluid had been used which meant it was not possible to see what the original entry had been.
  - Published: 2020-01-29
- **medication_management** _(critical)_
  - Evidence: The medicine record for this person did not name the individual medicines the person took. Their medicines were all in a blister pack and the medicine chart simply stated, 'blister pack'
  - Published: 2020-01-29
- Finding
  - Evidence: Bereavement and reflection support in place for staff following end of life care.
  - Published: 2019-09-11
- Finding
  - Evidence: Health care passports used to inform healthcare professionals in emergencies.
  - Published: 2019-09-11
- Finding
  - Evidence: Previous breaches of Regulations 12 and 17 fully remediated since last inspection.
  - Published: 2019-09-11
- Finding
  - Evidence: Service provided information in accessible formats including braille, large print, audio, and different coloured paper.
  - Published: 2019-09-11
- Finding
  - Evidence: Strong multi-agency working with district nursing, GPs, pharmacists, and palliative care teams.
  - Published: 2019-09-11
- Finding
  - Evidence: Effective quality assurance systems including spot checks, audits, supervisions, appraisals, and monthly quality monitoring meetings.
  - Published: 2019-09-11
- Finding
  - Evidence: Robust staff training programme including mandatory training, refresher courses, and opportunities for further qualifications.
  - Published: 2019-09-11
- Finding
  - Evidence: Comprehensive, person-centred support plans including life history, personal goals, and detailed care instructions.
  - Published: 2019-09-11
- Finding
  - Evidence: Electronic medicine administration records reviewed daily by management to ensure medicines administered as prescribed.
  - Published: 2019-09-11
- Finding
  - Evidence: Relatives reported staff were caring, patient and did not rush people, often staying longer than scheduled visit times.
  - Published: 2019-09-11

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-3625515776

HomeCare Compass is an independent guide and is not affiliated with the CQC.