Background to this inspection
Updated
20 October 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
This comprehensive inspection was carried out by one inspector.
Inspection activity started on 15 August 2018 and ended on 20 September 2018. This included telephoning people and their relatives to get their views on the care they received. We visited the office location on 20 September 2018 to see the registered manager and office staff; and to review care records and policies and procedures. We told the provider we were coming so they could arrange to be there and arrange for care staff to be available to talk with us about the service.
The provider had completed a Provider Information Collection (PIC) before this inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the information in the PIC during our inspection visit. The information reflected how the service operated.
Prior to the office visit we reviewed the information we held about the service. This included statutory notifications the service had sent us. A statutory notification is information about important events which the provider is required to send to us by law. There had been no notifiable incidents the provider needed to inform us about.
We reviewed the ‘share your experience’ information we had received. This is information that people who use the service/ relatives/members of the public or social care professionals want to tell us about. These can be concerns or compliments. We also contacted the local authority who arranged placements with the service. Information received was considered as part of our inspection planning.
The provider sent a list of people who used the service to us; this was so we could contact people by phone to ask them their views of the service. We spoke with two people, and two relatives of people who used the service. We used this information to help us make a judgement about the service.
During our inspection visit we spoke with the registered manager about their management of the service. We spoke with the administrator, and two care staff about their roles, and what it was like to work for Destiny International Care Ltd.
We reviewed three people’s care records to see how their care and support was planned and delivered. We looked at three staff recruitment files, records of complaints and the records of the checks the registered manager made to assure themselves people received a good quality, safe service
Updated
20 October 2018
Destiny International Care Ltd is a domiciliary care agency registered to provide personal care to people in their own homes. At the time of this inspection the service supported seven people with personal care and employed six care staff.
The office visit of this inspection took place on 20 September 2018 and was announced. This was the first inspection of the service following their registration with us in April 2016.
A requirement of the provider’s registration is that they have a registered manager. There was a registered manager in post at the time of 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. The registered manager was also an owner of the company, and the providers ‘nominated individual’ for the service.
People received care which protected them from avoidable harm and abuse. Staff understood people’s needs and knew how to protect them from the risk of abuse. Risks to people’s safety were identified and assessments were in place to reduce or manage risks. The provider’s recruitment procedure made sure staff were suitable to work with people who used the service. People received their prescribed medicines from staff who had completed training to do this safely.
People had an assessment completed at the start of their service to make sure staff could meet their care and support needs. Staff received an induction when they started working for the service and completed training that provided them with the skills and knowledge to support people’s needs.
The registered manager understood the principles of the Mental Capacity Act. Staff asked for people’s consent before they provided care and respected decisions people made about their care and support. When needed, arrangements were in place to support people to have enough to eat and drink and remain in good health.
People received care from staff who they considered to be kind and caring, and who stayed long enough to provide the care and support people required. Staff knew people well as they visited the same people regularly. Staff promoted people’s privacy and dignity and people received care and support which was individual to them.
Care plans were detailed and provided guidance for staff about how to support each person in the way they preferred. People’s care and support needs were kept under review and staff responded when there were changes in these needs. People knew how to complain, and information about making a complaint was available for people.
Staff understood their roles and responsibilities and said they had individual meetings and observations of their practice to make sure they carried these out safely. There were processes for assessing and monitoring the quality of the service. This included feedback from people which assisted the provider in making improvements to the service.