DJSupport

Updated 16 September 2017

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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The provider was given 48 hours’ notice because the location provides a domiciliary care service and the registered manager is sometimes out of the office and we needed to be sure that they would be in.

Before the inspection we looked at all of the information that we had about the service. This included information from notifications received by us. A notification is information about important events which the provider is required to send to us by law. We also looked at the provider information return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.

During the inspection we visited the service’s office and looked at the person’s care record and we met with the person being supported by the service. We also spoke with the registered manager, two care staff and one family member. We spoke with a care manager (from the local authority) an aromatherapy/massage therapist, a GP and a physiotherapist. We also received comments from an occupational therapist and an advocate who had contact with the service.

We saw records in relation to the person’s care and support, the management of the service, the management and supervision of staff, recruitment and training records.

The person was not able to verbally communicate with us. However, through observations made during the inspection and discussions with a family member, care professionals and staff we were able to understand the person’s experiences of the care and support being provided to them.

Updated 16 September 2017

DJSupport is registered to provide personal care to one person living in their own home. The inspection took place on 14 August 2017. We gave the provider 48hours’ notice before we visited to ensure that the registered manager was available to facilitate the inspection.

There was a registered manager in post. 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 2008 and associated Regulations about how the service is run.

Staff were knowledgeable about reporting any suspicions of harm to the person. There were a sufficient number of staff and recruitment procedures ensured that only suitable staff were employed. Risk assessments were in place and actions were taken to reduce identified risks.

There were effective procedures in place to ensure that the person was safely assisted with their medicines.

The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and report on what we find. Staff we met were able to demonstrate a good understanding of MCA. This meant that any decisions made on people's behalf by staff would be in their best interest and as least restrictive as possible.

Staff were supported and trained to do their job and additional training was provided for specific care needs to be fully met. The registered manager and support staff were in contact with a range of health care professionals to ensure that the person’s care and support was well coordinated.

The person’s privacy and dignity was respected and their support was provided in a caring and a patient way.

The person was supported to ensure they ate and drank sufficient quantities. The person was assisted to choose their favourite foods and to eat where and when they wanted to and healthy eating was promoted by care staff.

Care and support was provided based on the person’s individual personal care and support needs. There was a process in place so that the person and their family's concerns were listened to and acted upon.

The provider had quality assurance processes and procedures in place to monitor the quality and safety of people’s care. The person and their family were able to make changes and to the support and care provided to them by the service.