365 Divine Care

Updated 13 August 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 Care Act 2014.

Inspection team

This inspection was conducted by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes. This is help with tasks related to personal hygiene and eating.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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 service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 02 August 2022 and finished on 03 August 2022. We visited the office location on 03 August 2022

What we did before the inspection

We reviewed information we had received about the service since it had registered with us.

The provider completed 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 this information to plan our inspection.

During the inspection

We spoke with two people and three relatives of people who used the service. We spoke with the registered manager, two field care supervisors and three care workers.

We reviewed a range of records. This included four people's care records, six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including complaints, incident forms, policies and procedures were reviewed.

We requested additional evidence to be sent to us after our inspection. This included records relating to governance including policies and procedures.

Updated 13 August 2022

About the service

365 Divine Care is a domiciliary care agency providing personal care to people in their own homes, this included older people and also younger adults with physical disabilities.

At the time of the inspection, there were six people using the service who were receiving help with 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 and what we found

We found that the provider had made improvements in relation the breaches of regulations we found at the last inspection.

People and their relatives were happy with the care they received and said care was delivered in a safe way. They said care workers attended on time and stayed for the full duration of their visit. The provider operated safe recruitment procedures. Risks to people, included those associated with medicines support were assessed, and management plans included ways in which the risks could be reduced to keep people safe from potential harm.

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.

The provider carried out assessments before people started to receive care and people were supported in relation to their health and dietary needs. The provider supported its staff to attend training which helped to ensure they were competent in carrying out their roles and staff attended regular supervision meetings.

Care plans were individual to people, reflecting their current needs and contained person centred information such as their likes and dislikes and how they wished to be cared for. The provider encouraged feedback from people, relatives and staff and people were given details on who to contact if they were unhappy about the care they received.

The service was well-led. The registered manager was open to learning and improving the service, listening and acting upon feedback received. Quality assurance checks were in place to monitor the quality of service that people received.

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 this service was requires improvement (published 17 June 2021) and there were breaches of regulation in relation to safe care and treatment and staffing. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had been made and the provider was not in breach of regulations.

At our last inspection we recommended that the provider reviews its processes around meeting the accessible information standards and its quality assurance processes. At this inspection we found the provider had acted on these recommendations and had made improvements.

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

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

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