# Breakthru Care Ltd

Breakthru Care Ltd is a CQC-regulated home-care agency in Walsall.

## CQC Ratings

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

Rating published: 22/07/2023

## Practical info

- Postcode: WS2 9BP
- Registered manager: Bhebhe, Barbra
- Local authority: Walsall
- Region: West Midlands
- City: Walsall
- Last CQC check: 22/Jul/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-07-22
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-07-22
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2023-07-22

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-07-22
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-07-22
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-07-22
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-07-22
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-07-22

### Other

- Finding
  - Evidence: Communication needs were well captured in care plans with adaptable correspondence formats including easy read, braille and audio.
  - Published: 2023-07-22
- Finding
  - Evidence: Effective safeguarding training in place; all staff demonstrated good knowledge of identifying potential abuse.
  - Published: 2023-07-22
- Finding
  - Evidence: Registered manager promoted an open, transparent culture with regular team meetings, spot checks, and multi-agency engagement.
  - Published: 2023-07-22
- Finding
  - Evidence: Consistent carers were allocated and people reported high satisfaction with staff compassion and responsiveness.
  - Published: 2023-07-22
- Finding
  - Evidence: Person-centred care plans were active documents updated to reflect changing needs, with people involved in reviews.
  - Published: 2023-07-22
- Finding
  - Evidence: Staff received comprehensive induction, ongoing training including dementia and catheter care, and regular supervision.
  - Published: 2023-07-22
- Finding
  - Evidence: Medicines were managed safely with regular oversight, auditing, and staff competency observations.
  - Published: 2023-07-22
- Finding
  - Evidence: People felt safe and staff demonstrated clear understanding of care plans and risk assessments.
  - Published: 2023-07-22
- **record_keeping** _(moderate)_
  - Evidence: 1 person had not had a regular medication recorded on their MAR sheet due to an ordering dispute.
  - Published: 2023-07-22

### responsive

- Finding
  - End of life care and support
  - Published: 2023-07-22
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-07-22
- Finding
  - Meeting people's communication needs
  - Published: 2023-07-22
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-07-22

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-07-22
- Finding
  - Using medicines safely
  - Published: 2023-07-22
- Finding
  - Staffing and recruitment
  - Published: 2023-07-22
- Finding
  - Systems and processes to safeguard people from the risk of abuse; learning lessons when things go wrong
  - Published: 2023-07-22
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-07-22

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-07-22
- Finding
  - Engaging and involving people using the service, the public and staff, working in partnership with others
  - Published: 2023-07-22
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-07-22
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; continuous learning and improving care
  - Published: 2023-07-22

## 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/1-4844306850

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