- Homecare service
Destiney Social Care Provider
Report from 12 March 2024 assessment
Contents
Ratings
Our view of the service
Destiney Social Care Provider is a domiciliary care service. It provides personal care to adults with a range of support needs who are living in their own homes. There were 35 people using the service at the time of this inspection. Not everyone who uses the service receives the regulated activity of personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where people do receive personal care, we also consider any wider social care provided. We carried out our announced on-site assessment on 23 April and 1 May 2024 , off site assessment activity started on 18 April and ended on 3 May 2024. We assessed 17 quality statements. The inspection was prompted by concerns received about safe care and support and management of the service.At this assessment we found the provider needed to make improvements. We found breaches of Regulation 12 and 17 relating to the management of people’s risk and governance of the service. The overall rating for the service is requires improvement.
People's experience of this service
While people we spoke to said that they were generally happy with their care, our assessment found elements of care did not meet the expected standard. At the last inspection, some of the provider's governance systems required improvement to ensure people continued to receive good quality and safe care. At this inspection, we found the provider's governance and quality assurance systems needed further improvement. We identified 2 breaches of the legal regulations. Management and staff did not always follow the regulations, best practice guidance, or their own policies and procedures. The provider had failed to robustly assess the risks relating to the health, safety, and welfare of people. People did not always have comprehensive risk assessments that were sufficiently detailed to enable staff to support people safely. The provider had systems in place to safeguard people from the risk of abuse, including the training of staff in how to recognise and report abuse. Despite this, we could not be assured people were protected from the risk of avoidable harm or neglect because staff did not consistently protect people from abuse and improper treatment. However, people told us staff were kind and compassionate and supported them to be independent if this was their choice. The management team was not averse to challenging any shortfalls in practice and was working hard to embed an improved culture within the service. The provider had already taken immediate action to address the concerns, including reviewing policies and procedures, further staff training, a review of people's support plans, and risk assessments. The management team gave assurances these improvements would continue to be further embedded to ensure there was a continuous and sustained approach to improving care.