Background to this inspection
Updated
16 May 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (The Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social care act 2008.
Inspection team
The inspection team consisted of 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and for compliance with regulations.
At the time of the inspection, there were 2 registered manager managers in post.
Notice of inspection
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it was a small service, and we needed to be sure that the provider or registered manager would be available to support the inspection.
Inspection activity started on 29 March 2023 and ended on 27 April 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We did not ask the provider for a PIR (provider information return). A PIR gives the provider opportunity to tell us about the service, what the provider does well, and what improvements are required.
During the inspection
We reviewed a range of records. This included 5 people’s care records to see how their care and treatment were delivered. Other records included four recruitment files to check that suitable staff members were recruited and received suitable training. We also looked at records relating to the management of the service. We obtained the views of people using the service and their relatives. We spoke with three staff, five relatives, and both registered managers.
Updated
16 May 2023
About the service
Divine Healthcare is a domiciliary care agency providing personal care and support to people in their homes. At the time of the inspection, 23 people were using the service. CQC only inspects where people receive personal care. This relates to tasks related to personal hygiene and eating where people require this support; we also consider any wider social care provided.
Not everyone who used the service received personal care.
People’s experience of using this service and what we found
Risks to people’s safety and well-being were assessed. Staff had information to enable them to support people safely. Care plans were detailed with people’s medical conditions, and all staff had completed training to enable them to support people safely.
People were supported with maximum choice and control of their lives, and staff supported them in the least restrictive way possible and their best interest. The policies and systems in the service supported this practice.
The provider’s recruitment policy was followed, and recruitment practices were safe. All staff had completed training and had a probation period to ensure suitability. This meant the provider ensured only suitable staff were employed.
Staff were knowledgeable about infection prevention and control. Personal protective equipment was available.
People were supported with their medicines following a risk assessment; this meant people were supported safely.
People and their relatives were given the opportunity to be involved in the assessment process to ensure that people’s views and preferences were included in their care.
People were satisfied with the care support they received and told us they had no complaints.
Staff supported people in preparing meals and eating and drinking.
People received support in keeping with the principles of the Mental Capacity Act 2005 (MCA).
People were able to express any concerns they had, and management ensured that action was taken.
People’s privacy and dignity were respected, and people felt able to express their views.
The provider had procedures to monitor and improve the service, including managing incidents, accidents, safeguarding alerts and complaints.
For more details, please see the full report, which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
This service was registered with us on 24 November 2021, and this is their first inspection.
Why we inspected.
This inspection was prompted by a review of the information we hold about the service.
Follow up.
We will continue to monitor the information we received about the service, which will help inform when we next inspect.