Background to this inspection
Updated
20 December 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 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 Health and Social Care Act 2014 and to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 23 November 2016 and was carried out by one inspector. We gave the provider 24 hours’ notice of the inspection to make sure that a member of the management team would be available to meet us. Before our inspection we reviewed information we held about the service.
During the inspection we spoke with four people who used the service, four relatives and five staff members, the administrator and the deputy manager. The registered manager who is also the provider was on leave at the time of the inspection. We received feedback from the local authorities. We reviewed one person’s support plan. We also reviewed records relating to the management of the service which included two staff personnel files.
Updated
20 December 2016
The inspection took place on 23 November 2016 and was announced. We gave the provider 24 hours’ notice of the inspection to make sure that a member of the management team would be available to meet us. We contacted staff and people who used the service on the 24 and 25 November for feedback about the service. The inspection was a focused inspection which was in response to concerns raised about the safety and well-being of people who used the service.
At our last inspection on the 1 March 2016 we found that Destiny Support Care was meeting required standards. At this inspection we found they required improvement.
Destiny Support care provides personal care to people living in their own homes. There were 17 people using the service on the day of our inspection.
The service had a registered manager in post who was also the provider for the service. They were on leave at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated Regulations about how the service is run.
There was an electronic monitoring system in place and this was audited to ensure people received their calls. However, people did not always receive their calls on time and there were not sufficient gaps between calls to ensure staff had time to travel to the next call.
People told us that they felt safe, happy and well looked after in their own homes. Staff had received training in how to safeguard people from abuse and knew how to report concerns, both internally and externally. Safe and effective recruitment practices were followed to ensure that all staff were suitably qualified and experienced.
The environment and equipment were regularly checked to keep people safe.
Trained staff helped people to take their medicines safely where required. Identified and potential risks to people’s health and well-being were reviewed and managed effectively.
The registered manager was approachable and staff felt supported. People and staff were positive about the management of the service and knew the management team well.