Dreisco Care Limited

Updated 26 July 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

This inspection was undertaken by 1 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 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

We gave the service 72 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 12 June 2023 and ended on 29 June 2023. We visited the location’s office on 23 June 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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

We spoke with 1 person who used the service about their experience of the care provided. We spoke with 2 members of staff including the registered manager and 1 care worker.

We reviewed a range of records. This included 1 person’s care records and risk assessments. We looked at 2 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 26 July 2023

About the service

Dreisco Care Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection the service was supporting 1 person.

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

Quality monitoring records were not always sufficiently robust. We saw the registered manager had completed audits and action plans appropriately. However, whilst the provider was completing quality monitoring, the records lacked detailed information to demonstrate they had effective oversight of the service.

The person using Dreisco Care Limited told us they felt safe and confident with the care and support they received from staff. The person was safeguarded from abuse and neglect by a staff team who were trained in safeguarding procedures.

Risk assessments had been completed to ensure the person was supported to remain safe. There was clear guidance for staff on how to manage the person's risks.

There was enough staffing to meet the person's needs. The person who used the service told us the staff who provided their care were consistent and knew them well.

Staff had been trained and assessed as competent to administer medicines.

Infection prevention and control (IPC) was well managed and staff were trained in safe IPC practices whilst providing care. Appropriate Personal Protective Equipment (PPE) was made available and worn by staff.

The care record we reviewed was person-centred and contained sufficient information about the person's preferences, specific routines, their life history and interests.

The provider had systems in place to encourage and respond to any complaints or compliments. The person who used the service told us they were aware of the complaints policy and would feel comfortable approaching the registered manager if they had a complaint.

The person who used the service told us they were involved in the planning of their care. The person and staff members were given opportunities to provide feedback on the service. The management team acted on the views of the person and staff members.

The provider and management team had good links with the local communities.

The person who used the service was 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

The last rating for this service was good (published 14 June 2017).

Why we inspected

We received concerns in relation to poor care recording and a lack of staff knowledge. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We found no evidence during this inspection that the person who used the service was at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dreisco Care Limited on our website at www.cqc.org.uk.

Follow up

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