This inspection took place on 13 June 2018 and was announced. At the time of our inspection 34 people were using the service. At our last inspection in December 2015 we rated the service as good. Drayton Home Care Services Limited is a domiciliary care service. It is registered to provide personal care to people living in their own homes in the community. It provides a service to older adults.
Not everyone using Drayton Home Care Services Limited receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.
A registered manager was in post and was present during our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At this inspection we identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.
People’s medicines were not managed safely as information relating to what medicine they needed and when they needed to take them was not recorded. There was also a lack of information to inform staff what support people needed to take their medicines. Risk assessments did not always reflect how care should be provided to the person to minimise any risks to them.
The provider had systems in place to monitor the service. However, improvement was needed in the arrangements in place to monitor people’s care records as these records were not always available or accurate.
Staff had received training in and understood how to protect people from any harm and abuse. Staff knew how to and were confident in reporting any concerns they may have about a person’s safety.
People were happy they were supported by sufficient numbers of staff to safely meet their needs. Checks were completed on potential new staff to make sure they were suitable to work with people living at the home.
Staff had the skills and knowledge to understand and support people's individual needs. These skills were kept up to date through regular training and staff were also supported in their roles by managers and their colleagues.
Staff asked people’s permission before they helped them with any care or support. People’s right to make their own decisions about their own care and treatment were supported by staff.
Staff supported people to maintain a good diet and supported them to make their own choices about what they wanted to eat and drink. People’s routine health needs were met and referrals were made when people needed other health care support or when staff were worried about a person’s health.
People were supported by staff who knew them well and had good relationships with them. They felt involved in their own care and were treated with dignity and respect by staff. Information about people was kept secure at the provider’s office.
People were happy with the care and support they received and gave positive comments about the staff that supported them. People's care was reviewed regularly to ensure the plans in place met their current needs and responded to any changing needs. People knew how to raise complaints but told us they had not needed to.