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Inspection Summary


Overall summary & rating

Good

Updated 8 December 2017

This was a comprehensive inspection which took place on 1and 2 November 2017 and was announced. We gave the registered manager 48 hours' notice because the location provides a domiciliary care service and we needed to make sure someone would be in the office to assist us.

Dominic Care Ltd. is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults, younger disabled adults, people living with dementia and people with a learning disability. At the time of the inspection the service was providing personal care to 70 people.

The service had a registered manager as required. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run. The registered manager was present and assisted us during the inspection.

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

People received safe care from the service. Risk assessments were completed and enabled people to receive care with a minimum of risk to themselves or the care staff. Robust recruitment procedures were followed to ensure as far as possible only suitable staff were employed. Staff were trained to safeguard and protect people. They reported concerns promptly when necessary. People received their medicines safely when they required them.

People continued to receive effective care from staff who were trained and had the necessary skills to fulfil their role. Staff felt supported by the one to one meetings, appraisals and staff meetings which provided time to seek advice, discuss and review their work. They had opportunities to develop their skills and knowledge as well as gain relevant qualifications.

When required, people were supported with nutrition and hydration. People’s healthcare needs were monitored and advice was sought from healthcare professionals when necessary. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice.

The service remained caring and people reported staff were kind and patient. People’s privacy and dignity were protected, they told us staff treated them with respect. People and when appropriate relatives were involved in making decisions about their care.

The service remained responsive to people’s individual needs. Staff knew people well and individual care plans were person-centred. They focused on the diverse needs and preferences of each person and their desired outcomes. Complaints were responded to appropriately and people felt they were listened to when concerns were raised. The service was working to the accessible information standard.

At the previous inspection the service was rated as Requires Improvement in well-led. Improvements had been made resulting in it being rated Good at this inspection. Records were complete, accurate and reviewed regularly. They were updated promptly to reflect current information. The registered manager and the management team were experienced and skilled. They promoted an open, person centred culture with a strong emphasis on providing excellent care and led by example. They listened to feedback and worked toward making improvements in the service. People’s views were sought and governance systems helped monitor the quality of the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 8 December 2017

The service remains Good

Effective

Good

Updated 8 December 2017

The service remains Good

Caring

Good

Updated 8 December 2017

The service remains Good

Responsive

Good

Updated 8 December 2017

The service remains Good

Well-led

Good

Updated 8 December 2017

The service was well-led.

Records were accurate, reviewed regularly and provided current information.

There was an open and empowering culture in the service. Staff felt supported by the registered manager and the management team. The registered manager and management team were experienced and skilled, they led by example.

The quality of the service was monitored and the registered manager and provider sought to improve and develop.