Archived: Dynavour Care Services Limited

We found that work had been done to ensure the administration of medicines was reliably completed and recorded. Additional monitoring had been put in place to prevent errors going unnoticed. The MARs we looked at had been fully completed by staff. The staff administering the medicines felt confident about the systems in place. Some people had complex needs around medicines. Although staff knew how to meet these needs, care plans did not always contain enough information to ensure consistent support.

We found that notifications of specific events had been sent to CQC as required. We found the recording of medicines administration had improved. We also found there was more information available to staff about the medicines they were administering. Staff had received further training in medicines administration. We also found, however, that one person had not received some medicines they were prescribed and some medicines recording was not accurate. The provider had not adequately investigated a failure to administrate medicines in order to prevent a re-occurrence.

The four people we spoke with and records we reviewed showed people received support that met their needs. One person told us 'they have made a huge difference ' it is a relief to be somewhere where people know how to help me'.

People told us they were encouraged to be as independent as possible and felt their individual preferences were respected. One person told us 'staff encourage me to do what I can by myself and help me with the rest'.

We found the company was following appropriate recruitment procedures and the necessary checks were in place to protect people receiving support.

The staff and people we spoke with were all familiar with how to raise a safeguarding concern. One person told us 'I can speak to staff if I'm worried'. Safeguarding concerns had been dealt with appropriately in the past although we had not been notified as required.

The system for recording medication administration was not robust. Staff did not have access to all the information they needed to administer medication safely.

The provider monitored service quality by speaking to people, observing staff and responding to incidents and complaints. People felt listened to and one person said 'all my previous issues have been sorted'.