Background to this inspection
Updated
15 October 2020
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 and two assistant inspectors.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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.
The registered manager and the nominated individual were both directors of the company.
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
We reviewed information we had received about the service since the last inspection, such as their updated action plan, ongoing monitoring and the emergency support framework. We requested information from the provider in relation to people who used the service and staff, management, monitoring, and quality audits. We sought feedback from the local authority as to their assessment of the service. We used all information to plan our 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 four people who used the service and two relatives about their experience of the care provided on the telephone. We also spoke with seven staff on the telephone and met with the registered manager and nominated individual at the office. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with one social care professional.
We reviewed a range of records which included recruitment records, quality assurance and care plans.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
15 October 2020
About the service
Divine Care Provider Ltd is a domiciliary care service. It is registered to provide the regulated activity of personal care to people in their own homes including older people, people with dementia, people with a physical and sensory impairment and younger adults. At the time of the inspection, 39 people were receiving a service.
People’s experience of using this service and what we found
People told us they were happy with the staff, felt very well cared for and were satisfied with the quality of the service provided to them. People were treated in a caring, kind and respectful way. Staff told us improvements to care planning systems, recording and management of the service had been made since the last inspection.
At the previous inspection the provider was in breach of regulation 12 (Safe care and treatment), 17 (Good governance) and 19 (Fit and proper persons) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The concerns raised during the previous inspection had been addressed and improvements made.
The provider had effective systems and processes in place that enabled them to identify, monitor and assess risks to the health, safety and welfare of the people who use the service.
Risk assessments for people were in place including their current needs and known risk.
Infection control and prevention practices were in place with staff adhering to the guidance.
People’s medicines were administered and managed well with clear documentation and auditing.
Staff recruitment and induction process was now robust which ensured the right staff had been recruited in line with legal requirements.
People's care and support was delivered in line with their agreed care plan and within current standards and guidance.
The service was well led. Systems were in place to monitor the quality of the service. The provider had the knowledge and oversight of the service to manage it effectively.
Staff were caring and kind, knew people very well and had the skills and knowledge to undertake their role.
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 4 February 2020) and there were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced focussed inspection of this service on 22 September 2020. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe, Caring and Well Led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Divine Care Provider on our website at www.cqc.org.uk.