Background to this inspection
Updated
26 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 Health and Social Care Act 2008.
Inspection team
This inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
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 25 March 2022 and ended on the same date. We visited the location’s office/service on 25 March 2022.
What we did before the inspection
We reviewed information we had received about the service since registration. We sought feedback from one person and one relative who used the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
The registered manager was the only member of staff working for the service. They were also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with the registered manager and reviewed two care plans, a number of records relating to medicines, policies and procedures and various quality assurance documents. We also reviewed training compliance and the business continuity plan.
Updated
26 May 2022
About the service
Domicare is a domiciliary care agency providing personal care to people in their own homes. At the time of the inspection two people were using the service.
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.
People’s experience of using this service and what we found
People were supported by kind and caring staff. People and relatives told us that they were treated with respect and dignity. Staff supported people in a compassionate manner and encouraged people’s independence. People had access to activities they enjoyed and staff supported them to maintain important relationships.
People received support when they needed it at times that suited them. Staff did not rush people and took their time to support them in an effective way during time slots people had requested. There was a medicines management system set up to support people with their medicines in a safe way.
Quality audits were evident to ensure a safe and effective care was provided and action was taken where necessary. There was also a complaints procedure with clear action for staff to take in response to any concerns or complaints raised. People and relatives told us that they felt involved in decisions about their care and listened to when telling staff how they wanted to receive care.
People told us they always received care when they required it and staff took their time and were not rushed in their day to day activities. People told us they felt listened to. The registered manager had worked well with health and social care professionals to ensure effective care.
People were kept safe from the risk of harm. People had individual risk assessments that provided guidance and advice for staff. Infection prevention control (IPC) procedures were being followed by staff in line with government guidance. Accidents and incidents analysis had been introduced to ensure the risk was minimised of future incidents.
People were supported with food and drink and had assessments in care plans. Staff received adequate training and induction processes were in place for future staff.
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; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 27 April 2020 and this is the first inspection.
Why we inspected
This inspection was prompted due to it being an unrated service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.