Dream Home Care Ltd

Updated 28 December 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 Care Act 2014.

Inspection team

The inspection team consisted of 1 inspector and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of service.

Service and service type

Dream Home Care is a domiciliary care agency registered to provide personal care to people 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 CQC 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 provider 2 days’ notice because we needed to ensure they would be available to assist us with the inspection.

Inspection activity started on 28 November and ended on 8 December 2023. We visited the office location on 28 November to see the registered manager and to review a range of records related to the service.

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.

During the inspection

During the site visit we met and spoke with the registered manager and director.

We viewed a range of records. We looked at care records for 8 people and a sample of medicines records. We looked at 6 staff files in relation to recruitment, training and support. A variety of records relating to the management of the service, including audits, policies and procedures were reviewed.

We spoke with 3 people who received care from the service and 19 family members. We also spoke with 7 staff including care staff, the registered manager and director.

We provided formal feedback to the registered manager on 12 December 2023.

Updated 28 December 2023

About the service

Dream Home Care is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides support to people of different abilities. The services they provide include personal care and medicines support. At the time of inspection, the service provided care to 34 people who received personal care. The Care Quality Commission (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:

People and family members were satisfied with the care and support provided by the service. They told us they could rely on care staff to provide care safely and felt comfortable in their presence. They were complimentary about how the service was managed and told us that care staff were kind, caring and respectful. People’s privacy, dignity and independence was respected and promoted.

People were protected from abuse. Staff had received training on how to safeguard people and were aware of the procedure to follow if they suspected that people were subject to abuse.

Risks associated with people's care were assessed and monitored. Assessments were person centred and care was responsive to people's needs. Care plans provided staff with the information to manage the identified risks.

Staff were safely recruited by the service.

Appropriate medicines management and administration processes were in place.

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.

Measures to prevent and control the spread of infections were in place.

Staff had the knowledge and skills to safely and effectively meet people's needs.

People's care plans included information about what support people wanted and how they wanted the service to provide the support for them. However, we found some inconsistencies in relation to information in some people’s care plans and made a recommendation in relation to this.

There was a complaints policy and procedure in place. The registered manager and staff were open and transparent throughout the inspection and responded to requests positively.

Governance systems were in place to ensure aspects of the service and quality of care provided were continuously assessed and monitored. A range of audits were carried out to monitor the quality and safety of service provision.

Management evaluated the quality of support provided to people, involving the person, their families, and other professionals as appropriate.

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

The last rating for the service was good (26 July 2018).

Why we inspected:

This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have made a recommendation in relation to care plans.

Follow up

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

Inspect.