21 March 2022
During an inspection looking at part of the service
DCI Care is a domiciliary care agency (DCA). The service provides personal care services to people in their own homes. This includes Live-in Care, where staff live with people in their own homes. At the time of our inspection two people received personal care as the regulated activity.
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.
People’s experience of using this service and what we found
There were systems in place to monitor the quality of service. However, these systems were not always effective. Medicines management was not based on current best practice, therefore we have made a recommendations about staff competencies.
People were not always protected against the employment of unsuitable staff as the provider failed to follow safe recruitment practices.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; however, the policies and systems in the service did not always support this practice. Therefore, we have made a recommendation about the Mental Capacity Act 2005.
People's dignity, confidentiality and privacy were respected, and their independence was promoted. However, we identified that our findings in relation to training, staff had not always received the appropriate training in Mental capacity Act (MCA) and end of life care (EoLC) to support them in their roles.
Risk assessments identified how potential risks should be managed to reduce the likelihood of people experiencing harm. Staff understood the risks to people and delivered safe care in accordance with people's support plans. Staffing rotas showed there were sufficient staff to meet people's needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 14 April 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have found evidence that the provider needs to make improvements. Please see the Safe, Effective and Well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe recruitment, staffing and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.