FDS Divine Care Ltd

Updated 24 November 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

The 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 houses and flats.

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 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 20 September and ended on 10 October 2022. We visited the location’s office on 20 September 2022.

What we did before the inspection

We reviewed information we had received about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with two people. We met with the registered manager. We reviewed two people's care records. We looked at three staff records in relation to recruitment, training and supervision. We also looked at a variety of records relating to the management of the service and quality monitoring systems.

Following the office visit, we contacted three staff by telephone and continued to review a range of records which were sent to us by the registered manager.

Updated 24 November 2022

About the service

FDS Divine Care Ltd is a domiciliary care agency providing personal care to people with health and social care needs in their own homes. 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 two people who received personal care using the service.

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

Staff were not always recruited safely.

Systems and processes were not effective, so governance of the service was lacking. The registered manager did not have complete oversight of the service, this included for example oversight of care call times.

Lessons were not always learnt. Staff meetings did not take place to share good practice and reflection when incidents had occurred.

Risk was not always adequately assessed and onwards health referrals had not always been considered in a timely way.

People told us they felt safe, and systems and safeguarding training was in place for staff to ensure people were safeguarded from harm.

Staff were not all up to date with training.

The service's own complaints policy was not followed when a complaint had been received.

People spoke positively about the caring nature of the care workers.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group

Right Support:

People's needs were assessed before they started using the service and care plans were developed from initial assessments. People and those important to them were involved in reviewing care plans.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Right Care:

Care plans lacked detail about people's needs and were not person-centred.

Care promoted people’s dignity, privacy and human rights.

Right Culture:

Staff were responsive to people's individual needs and because a consistent team of staff supported the people, staff knew them well. They supported each person by spending time with them and listening to them.

People told us staff were supportive. One person said, “They just seem genuine and they have got my interests at heart”

Staff told us they were happy and felt well supported. They enjoyed their work and spoke positively about the people they cared for.

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 9 October 2017, and this is the first inspection. They had a period of dormancy since they were registered with CQC. Dormancy means they were registered but were not supporting any people, they have been out of dormancy and fully operating since 9 April 2021.

Why we inspected

This inspection was carried out to provide the first rating of this service following registration.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to the oversight of the service and staff not being recruited safely at this inspection.

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.