FDS Divine Care Ltd

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.