DJ Vision Healthcare

Updated 19 January 2023

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

The inspection team consisted of 1 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 and specialist housing.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced.

We gave the service 24 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 28 October 2022 and ended on 04 November 2022. We visited the location’s office on 28 October 2022.

What we did before inspection

We reviewed information we had received about the service. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. 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

We spoke with 2 members of staff, including the registered manager who is also the nominated individual and a care worker. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records. This included care records for two people, in relation to their care plan and risk assessments. We looked at two staff files in relation to recruitment, supervision and training. We looked at training data. We reviewed policies and procedures and records related to the running of the service. We spoke with two relatives about their experience of the care provided.

Updated 19 January 2023

About the service

DJ Vision is a domiciliary care service providing personal care to adults living in their own homes. The service provides support to people with physical disabilities, sensory impairment, older people and younger adults. At the time of our inspection the service was providing care to 2 people.

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 our inspection there were three people receiving a personal care service.

People’s experience of using this service and what we found

Systems for managing the service were not always effective in ensuring records were accurate and up to date. This put people at risk of harm because systems were not robust.

Risk assessments were carried out to protect people from the risks of avoidable harm. Where risks to people had been identified, this did not always provide details on how to manage all risks and risks assessments were not always updated This could put people at risk of receiving unsafe care. We have made a recommendation in relation to risk assessment records.

People felt safe with care staff who understood their needs. Staff were knowledgeable about safeguarding and whistleblowing procedures. Medicines were managed safely, and people were protected from the risks associated with the spread of infection. The provider had a system in place to learn lessons from accidents and incidents.

Staff were supported in their role with training and supervision. People’s care needs were assessed before they began to use the service. Staff supported people with their nutritional, hydration and healthcare needs.

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.

Staff demonstrated they knew people and their care needs well. People received care from staff who were caring and kind. The provider and staff understood how to provide a fair and equal service. People were involved in their care planning and were encouraged to make choices. Staff understood how to maintain people’s privacy, dignity and independence.

Staff understood how to provide a personalised care service. The provider understood how to meet people’s communication needs. People were supported to maintain contact with family and friends. There was a system in place for people to make a complaint.

Relatives and staff spoke positively about the leadership in the service. The provider had a system to check the quality of the service provided and to identify areas for improvement. There was a system to obtain feedback from people using the service and staff.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 16/09/2021 and this is the first inspection.

Why we inspected

This was a planned inspection based on the service no longer being dormant after becoming active in January 2022.

Enforcement

We have identified breaches in relation to safe recruitment and good governance in relation to systems used to monitor the service.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.