# Bright Opportunities Enabling Services Limited

Bright Opportunities Enabling Services Limited is a CQC-regulated home-care agency in Buxton.

## CQC Ratings

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

Rating published: 12/04/2022

## Practical info

- Postcode: SK17 7LF
- Registered manager: Green, Tracey
- Local authority: Derbyshire
- Region: East Midlands
- City: Buxton
- Last CQC check: 12/Apr/2022 - 00:00

## Inspection findings

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-04-26
- Finding
  - Assessing people's needs and choices; delivering care in line with standards
  - Published: 2022-04-26
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-04-26
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-04-26

### Other

- Finding
  - Evidence: People supported to eat a balanced diet and involved in meal planning
  - Published: 2022-04-26
- Finding
  - Evidence: Relatives given access to the online care plan and recording system
  - Published: 2022-04-26
- Finding
  - Evidence: Provider met the duty of candour
  - Published: 2022-04-26
- Finding
  - Evidence: Culture of openness, transparency and honesty reported by relatives, staff and professionals
  - Published: 2022-04-26
- Finding
  - Evidence: Sufficient staffing levels with one-to-one support as required
  - Published: 2022-04-26
- Finding
  - Evidence: Safe recruitment practices including pre-employment and DBS checks
  - Published: 2022-04-26
- Finding
  - Evidence: Effective infection prevention and control measures with appropriate PPE use
  - Published: 2022-04-26
- Finding
  - Evidence: Low staff turnover providing consistent care from staff who knew people well
  - Published: 2022-04-26
- **leadership** _(moderate)_
  - Evidence: the registered manager had not recognised the requirement for applications to the court of protection, mental capacity assessments or best interest decision records.
  - Published: 2022-04-26
- **record_keeping** _(moderate)_
  - Evidence: staff, the registered manager and company director had documented a person's behaviours and their response to these in an undignified way.
  - Published: 2022-04-26
- **person_centred_care** _(moderate)_
  - Evidence: people's dignity was not always promoted when people displayed behaviours that were normal for them.
  - Published: 2022-04-26
- **medication_management** _(moderate)_
  - Evidence: when people took medicines on an as and when basis (PRN) there were not always protocols to guide staff as to how to recognise when these may be required.
  - Published: 2022-04-26
- **care_planning** _(moderate)_
  - Evidence: The provider had not always ensured that people's care records contained clear guidance for staff about how to support people effectively.
  - Published: 2022-04-26
- **incident_learning** _(moderate)_
  - Evidence: There was no formal review of incidents and no actions recorded to demonstrate the provider had done all they could to reduce risks in future.
  - Published: 2022-04-26
- **governance** _(critical)_
  - Evidence: The provider had not always ensured there were systems and processes to assess, monitor and improve the quality and safety of the service.
  - Published: 2022-04-26
- **staff_competency** _(critical)_
  - Evidence: Where staff had not passed the competency assessment at the end of the training course, they continued to support people without supervision.
  - Published: 2022-04-26

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-04-26
- Finding
  - Staffing and recruitment
  - Published: 2022-04-26
- Finding
  - Using medicines safely
  - Published: 2022-04-26
- Finding
  - Learning lessons when things go wrong
  - Published: 2022-04-26
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-04-26
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-04-26

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-04-26
- Finding
  - Duty of candour
  - Published: 2022-04-26
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-04-26
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements
  - Published: 2022-04-26

## 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/1-5652989027

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