Background to this inspection
Updated
10 May 2022
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 22 April 2022 and ended on 25 April 2022. We visited the office location on 22 April 2022 and made telephone calls to people and relatives on 25 April 2022.
What we did before the inspection
We reviewed information we had received about the service and we sought feedback from the local authority. The provider was not asked to send in a provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with three care staff members, the registered manager, the director, the care coordinator, and the assistant operations manager.
We reviewed a range of records. This included four people’s care records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
10 May 2022
About the service
Demidav Limited is a domiciliary care agency. It provides care for people living in their own houses and flats to enable them to live as independently as possible. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection, 17 people were receiving personal care support.
CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People and their relatives told us they felt in safe hands when receiving care from staff. People received safe care and were protected against avoidable harm, abuse, neglect and discrimination.
Risks to people’s safety were assessed and details around the care they required was documented.
Safe recruitment practices were followed.
People received their medicines in a safe way and at the right time. Staff had the training and support they required, and staff competence was checked.
Where the provider took on the responsibility, people were supported and encouraged to maintain good nutrition and hydration.
People told us they were treated with kindness, compassion and respect. People and relatives we spoke with felt they had the time to develop good relationships with staff. Staff encouraged people to maintain their independence and do as much for themselves as they were able to.
Care plans reflected people’s individual needs, preferences and routines in sufficient detail.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; However, sufficient assessments of people’s capacity and their ability to make decisions were not always completed.
Audits taking place in the service identified any actions for improvements, which were taken promptly.
Managers were open and inclusive. The culture of the service was positive. People and staff were asked for their feedback about the care they received.
The registered manager and provider understood their responsibilities, and worked in an open and transparent way. People and their relatives knew how to make a complaint.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This service was registered with us on 21 June 2019 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.