D-Triumph Care

Updated 6 August 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide 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. 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 registered manager would be in the office to support the inspection.

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.

During the inspection:

We spoke with the registered manager and three members of staff, two of whom were care staff.

We reviewed recruitment records for three staff members, including their training, spot checks and supervision records. We reviewed care records for four young people and viewed the electronic care system used for care planning and rostering.

We reviewed how accidents and incidents are managed, and the quality assurance processes at the service.

After the inspection visit:

We contacted received feedback from three health, social care and education professionals, and spoke with two additional care staff.

We received feedback from three relatives of young people who received the service.

Updated 6 August 2021

About the service:

Enfield is a domiciliary care agency. It is registered to provide personal care to children living with their families, and adults living in their own homes, with a range of disabilities. At the time of our inspection the service was providing care to four children and young people under the age of 16.

People’s experience of the service

Young people’s families told us they were very happy with the service. Staff were kind and caring and relatives spoke highly of the registered manager. Health, social care and educational professionals praised the service highly. Professionals told us staff provided good quality care, and the registered manager worked effectively in partnership with them to meet children and young people’s needs. It was clear to them and us, the service was well-led. Effective partnership with other health and social care, and educational professionals meant outcomes for children and young people were maximised.

The service had personalised care plans and risk assessments that covered a majority of the risks identified. Any gaps in risk assessments were completed following the inspection. This meant staff had written guidance on how to manage young people’s risks and behaviours.

Young people were safeguarded against the risks of abuse and harm by the systems and by the staff, who received training in safeguarding children and adults. Safe recruitment practices took place, so staff were considered appropriate to work with vulnerable people, including children.

At the time of the inspection the service was not supporting young people with medicines. However, staff had received training in the giving of medicines and other key areas so they could provide good quality care.

Young 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.

Rating at last inspection:

This service was registered with us on 17 June 2020 and this is the first inspection.

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

Why we inspected:

This inspection was carried out on 14 July 2021. We carried this inspection out in line with best practice to rate services within 12 months of starting to provide a service.

Follow up:

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