Warwickshire Living Ltd Also known as Dignity Carers

Updated 31 March 2021

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 was carried out 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.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

This inspection was announced.

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 manager would be in the office to support the inspection.

Inspection activity started on 9 March 2021 and ended on 15 March 2021. We visited the office location on 9 March 2021.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and two relatives about their experience of the care provided. During and after the inspection we spoke with the registered manager and four staff members.

We reviewed a range of records including four people's care records and medication records and a selection of staff files in relation to recruitment and staff development. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 31 March 2021

About the service

Warwickshire Living Ltd (also known as Dignity Carers) is a domiciliary care service that provides personal care and support to people living in their own homes. The service supported 18 people at the time of the inspection.

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

Since the services registration with CQC in February 2019, the registered manager had concentrated on building up the service and developing a stable staff team.

People's safety was promoted. People told us they felt safe with the staff who supported them. Potential risks to people's safety had been assessed, managed and was regularly reviewed. Safe systems were in place to support people with their medicines and infection prevention and control.

Extra measures had been put into place to keep people safe during the COVID-19 pandemic such as regular COVID 19 testing for staff and the use of personal protection equipment (PPE).

People were supported by a regular staff team who were reliable, kind and caring. Staff had been suitably recruited and trained to carry out their role.

People were happy with the care and support provided to them. Their well-being was monitored by staff and they were supported to access health care services as needed and in a timely manner. Staff worked in partnership with community professionals to achieve positive outcomes for people.

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. People were consulted about their choices and individual decisions about their care.

Staff promoted people's independence, rights, privacy and dignity. Staff knew people well and respected their lifestyle, decisions and diverse needs. People and their relatives complimented the caring nature and approach of all staff who supported them.

People received person centred care which was based on their initial assessment, care needs and personal wishes. Care plans provided staff with information about people's support requirements, levels of independence and the management of people's risks.

The registered manager has a good understanding of the management of people's needs and development of staff and was open to making improvements to the service. They were making progress in developing their auditing and governance systems to help monitor the service and drive improvements. Staff used feedback from people, relatives and other stakeholders as an opportunity to act on concerns and address any areas that require further improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us in February 2019 and this is the first inspection.

Why we inspected

This service had not been inspected since their registration in February 2019, therefore, this inspection was carried out to gain assurances about the quality of care and systems used to monitor and manage the

service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.