Your Dom Care Limited

Updated 4 July 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 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.

This was a comprehensive inspection which inspection took place on 9 May 2018 and was announced. We rang the day before the inspection because the service provided care to a small number of people so we needed to check the registered manager would be in. The inspection was carried out by one inspector .].

Prior to the inspection we reviewed the information we held about the service, including statutory notifications submitted about key events that occurred at the service. We also reviewed the information included in 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 improvements they plan to make.

During the inspection we spoke with the registered manager, the director and obtained feedback from three members of staff. We reviewed two peoples’ care records plus staff records such as supervisions and recruitment. We reviewed medicines management arrangements and records relating to the management of the service, including policies and procedures. We requested and were sent various records such as training records and audits. We gathered feedback from people and relatives by reviewing care reviews, compliment letters and quality assurance documents.

Updated 4 July 2018

Your Dom Care provides support to people living in their own home.

A registered manager was in post. 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 and associated Regulations about how the service is run.

Medicines were managed safely and in accordance with current regulations and guidance. There were systems in place to ensure that medicines had been stored, administered, audited and reviewed appropriately.

People were happy and relaxed with staff. They commented they felt safe and there were sufficient staff to support them.

When staff were recruited, their employment history was checked and references obtained.

Checks were also undertaken to ensure new staff were safe to work within the care sector.

Risks associated with people’s health and their environment had been identified and managed.

Staff were knowledgeable and trained in safeguarding adults and what action they should take if they suspected abuse was taking place.

Staff had a good understanding of equality, diversity and human rights.

The registered manager and staff had received training in the Mental Capacity Act 2005 (MCA).

Accidents and incidents were recorded appropriately and steps taken to minimise the risk of similar events happening in the future.

Staff had received essential training and there were opportunities for additional training specific to the needs of the service, including the care of people with dementia and palliative care (end of life).

Staff had received both supervision meetings with their manager, and formal personal development plans, such as annual appraisals were in place.

Healthcare was accessible for people and appointments were made for regular check-ups as needed.

People told us they felt well looked after and supported. We observed friendly relationships had developed between people and staff.

Care plans described people's preferences and needs in relevant areas, including communication, and they were encouraged to be as independent as possible.

People's end of life care was discussed and planned and their wishes had been respected.

Staff were asked for their opinions on the service and whether they were happy in their work. They felt supported within their roles, describing an 'open door' management approach, where managers were always available to discuss suggestions and address problems or concerns.

The provider undertook quality assurance reviews to measure and monitor the standard of the service and drive improvement.