Background to this inspection
Updated
2 March 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) 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 Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
One inspector carried out the inspection.
Service and service type:
Dial4Care Recruitment Ltd is a domiciliary care agency. It provides care to people living in their own houses, flats or specialist housing. The service provides personal care and support to adults and children.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection site visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure they would be in to support the inspection.
Inspection activity started on 6 February 2019 and ended on 8 February 2019 when we received information we asked the provider to send us. We visited the office location on 6 February 2019 to see the manager and care staff; and to review care records and policies and procedures. We also visited people in their homes to speak with them about their care.
What we did:
Before the inspection, we looked at information we held about the service including notifications. A notification is information about events that registered persons are required to tell us about. We checked 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. We used this information to plan the inspection
During the inspection, we looked at various information including:
¿ Care records for three people.
¿ Records of accidents and incidents; compliments and complaints; audits; surveys.
¿Three staff files to check the provider's staff recruitment, training and supervision processes.
¿ Some of the provider’s policies and procedures.
¿ We spoke with three people using the service, two staff and the registered manager.
Updated
2 March 2019
About the service:
Dial4Care Recruitment Ltd is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. Not everyone using a domiciliary care agency receives 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.
The service also provides care and support to people living in two 'supported living' settings, so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
The service supports adults and children. At the time of the inspection, they were supporting five young people, of ages 16-18 years.
People’s experience of using this service:
¿ Staff had been trained on how to protect people from harm, and they knew how to report concerns.
¿ Potential risks to people’s health and wellbeing were assessed and minimised.
¿ There were enough staff to meet people’s needs safely.
¿ People's medicines were managed safely.
¿ Staff followed effective processes to prevent the spread of infection.
¿ Staff had been trained and had the right skills to meet people's needs effectively.
¿ Staff were well supported and had information they needed to meet people’s assessed needs.
¿ Staff supported people to have enough to eat and drink.
¿ Staff supported people to access healthcare services when required, to help maintain their health and well-being.
¿ People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
¿ People were fully involved in making decisions about their care and support.
¿ People were involved in the planning and reviewing of their care plans.
¿ People told us staff were caring and friendly.
¿ Staff respected and promoted people’s privacy, dignity and independence.
¿ Information in people's care plans supported staff to deliver person-centred care that met people’s needs.
¿The registered manager sought feedback from people about the quality of the service provided.
¿ The registered manager worked in partnership with other professionals to ensure people received care that met their needs.
¿ There was a system to ensure people’s suggestions and complaints were recorded, investigated, and acted upon to reduce the risk of recurrence.
¿ Audits and quality monitoring checks were carried out regularly to continually improve the service.
Rating at last inspection:
¿ This was the first inspection following the provider registering with the Care Quality Commission on 2 February 2018.
Why we inspected:
¿ This was a planned inspection following registration with the Care Quality Commission.
Follow up:
¿ We will continue to monitor all information we receive about the service and schedule the next inspection accordingly.