Archived: Divine HomeCare Solutions

Updated 29 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One inspector and an expert by experience carried out this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Divine Homecare Solution is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because senior staff are often out of the office supporting staff or providing care. We needed to be sure that they would be in. The inspection site visit took place on 10 and 11 June 2019. We visited the office location on these date to see the registered manager and to review care records and policies and procedures.

What we did:

Before our inspection we reviewed the information we held about the service. This included correspondence we had received and notifications submitted by the service. A notification must be sent to the Care Quality Commission every time a significant incident has taken place. We also gathered information from the local authority’s quality assurance improvement team as well as healthcare professionals involved in supporting people living at the home. Prior to the inspection the provider sent us a Provider Information Return. Providers are required to send us key information about their service, what they do well, and what improvements they plan to make. This information helps to support our inspections.

During the inspection we spoke to the registered manager, the deputy manager, finance manager, two senior carers and two staff. We looked at five people’s care records, five staff files and other records relating to the management of the service including policies and procedures. During the inspection we spoke to seven people using the service, four relatives and three health and social care professionals and asked them for their views about the service.

Updated 29 June 2019

Divine HealthCare Solutions is a domiciliary care agency. At the time of the inspection they were providing personal care to 22 people in their own homes.

People’s experience of using this service:

People told us they felt safe with staff. They said staff were kind, able to meet their needs and supported them in a dignified, respectful way which maintained their privacy and independence. People’s preferences were respected and staff were sensitive and attentive to people’s needs. Staff knew people and their relatives well.

People were cared for by a team of staff who were skilled and competent in providing care and support. Safe recruitment practices had been followed by the provider.

The provider made sure people received support from the same staff where possible. Relatives of people using the service told us sometimes carers were late but they apologised and always stayed the duration of their visit. People and relatives said they would like more notice from the manager when there were changes to the rota.

People received a service which was personalised and met their needs. People’s needs were assessed before starting the service and were reviewed when there were changes to their condition. The service enabled them to remain as independent as possible and to live in their own homes.

Staff had access to up to date information about how to support people. Risks to people’s health, safety and well-being were assessed and management plans were in place to ensure risks were mitigated as much as possible. Staff were aware of their responsibilities to safeguard people. Communication with health and social care professionals was effective in ensuring people received joined up care.

People received their medicines safely and as prescribed. Medicine management practices were safe.

Quality assurance processes undertaken by the registered manager and the provider ensured people received good quality care that met their needs and respected their preferences.

Rating at last inspection:

At the last inspection the service was rated Good. The last inspection report was published on 21 December 2016.

Why we inspected:

This was a planned comprehensive inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned in line with our inspection schedule or in response to concerns.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.