Background to this inspection
Updated
14 November 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.
We visited the office location on 24 July 2018 to see the registered manager, office staff and to review care records and policies and procedures. After the site visit was complete we then made calls to people who used the service and their relatives.
Prior to the inspection we reviewed the information we held about the service which included notifications that the provider is required to send to the Care Quality Commission (CQC).
We spoke with two people using the service and three of their relatives on the telephone. We spoke with three care workers during our inspection. We spoke with the registered manager of the service and other senior members of the management team. We also spoke with two care coordinators who were responsible for the rotas and line managed care workers. We also looked at a sample of five people’s care records, five staff records and records related to the management of the service.
Updated
14 November 2018
We conducted an inspection of Devine Enterprise on 24 July 2018. This was our first inspection of this service.
This service is a domiciliary care agency. It provides personal care for people living in their own houses and flats in the community. It provides a service to older adults and younger disabled adults. At the time of the inspection they were supporting 57 people. Not everyone using Divine Enterprise receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
There was a registered manager at the service. 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.
Risk assessments and support plans contained a good level of information for care staff in how to mitigate known risks.
Safeguarding procedures were in place and care workers understood these. Care workers received annual training in safeguarding adults.
Recruitment procedures helped ensure that appointed staff were safe to work with people. The provider ensured a sufficient number of staff were scheduled to work to meet people’s individual needs.
There were appropriate systems in place to safely administer medicines to people.
People were supported with their nutritional and healthcare needs and care workers had a good understanding of these.
Care workers received an appropriate induction and ongoing training, supervisions and appraisals of their performance.
Staff received training in the Mental Capacity Act 2005 (MCA) and demonstrated an understanding of their responsibilities in relation to this. Care records contained details of people’s capacity and were signed by people using the service or those lawfully acting on their behalf.
Care staff had a good understanding of people’s individual needs and care records and supported them to be as independent as they were able.
The provider ensured people's privacy and dignity was respected and promoted.
People we spoke with and their relatives told us they were involved in decisions about their care and how their needs were met.
The provider operated an effective complaints procedure and people confirmed they were aware of this.
The provider used an electronic monitoring system to provide effective and timely care to people.
The provider monitored staff morale to ensure care workers were satisfied in their roles. Care workers had a clear understanding of their responsibilities.
The provider assessed the quality of the service in order to maintain the provision of effective care.