Dreisco Care Limited

Dreisco Care Limited is a domiciliary care agency providing personal care to people living in their own homes. At the time of our inspection the service was supporting 1 person.

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

Quality monitoring records were not always sufficiently robust. We saw the registered manager had completed audits and action plans appropriately. However, whilst the provider was completing quality monitoring, the records lacked detailed information to demonstrate they had effective oversight of the service.

The person using Dreisco Care Limited told us they felt safe and confident with the care and support they received from staff. The person was safeguarded from abuse and neglect by a staff team who were trained in safeguarding procedures.

Risk assessments had been completed to ensure the person was supported to remain safe. There was clear guidance for staff on how to manage the person's risks.

There was enough staffing to meet the person's needs. The person who used the service told us the staff who provided their care were consistent and knew them well.

Staff had been trained and assessed as competent to administer medicines.

Infection prevention and control (IPC) was well managed and staff were trained in safe IPC practices whilst providing care. Appropriate Personal Protective Equipment (PPE) was made available and worn by staff.

The care record we reviewed was person-centred and contained sufficient information about the person's preferences, specific routines, their life history and interests.

The provider had systems in place to encourage and respond to any complaints or compliments. The person who used the service told us they were aware of the complaints policy and would feel comfortable approaching the registered manager if they had a complaint.

The person who used the service told us they were involved in the planning of their care. The person and staff members were given opportunities to provide feedback on the service. The management team acted on the views of the person and staff members.

The provider and management team had good links with the local communities.

The person who used the service was 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.

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

Rating at last inspection

The last rating for this service was good (published 14 June 2017).

Why we inspected

We received concerns in relation to poor care recording and a lack of staff knowledge. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We found no evidence during this inspection that the person who used the service was at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dreisco Care Limited on our website at www.cqc.org.uk.

Follow up

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

Dreisco Care Limited is a domiciliary care agency providing care to people in their own home. At the time of our inspection four people were receiving personal care and support from the service.

There was a registered manager in place. It is a requirement that the service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission (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.

People felt safe and staff knew their responsibilities to help protect them from avoidable harm and abuse. Risks associated with people’s care were assessed and guidance was available for staff to reduce the likelihood of an accident or incident. The provider had arrangements in place to deal with unforeseen events such as if a person did not answer when staff arrived at their home. The provider had safely recruited a suitable number of staff to provide care to people and to help them to remain safe.

Where people required assistance with their medicines, this was undertaken by staff who knew their responsibilities. They received training and guidance on the safe handling of people’s medicines.

People received care and support from staff with the necessary skills and knowledge. Staff received an induction when they started to work for the provider as well as on-going training and guidance so that they knew their responsibilities.

Staff sought people’s consent and supported people to be involved in decisions about their care and support. Staff knew the actions that may be required should a person not be able to make a decision for themselves. The provider had systems and processes in place to assess a person’s mental capacity should this be required.

People received good support to prepare a meal where this was required. Where there were concerns about a person’s health and well-being, staff knew the action to take.

People received care and support from staff who were kind and compassionate. People’s dignity and privacy was respected by staff who knew how to deliver care in sensitive ways. Staff knew the people they supported including how to maintain their skills and abilities.

People received care that was based on their preferences and things that mattered to them. Each person had a care plan that was centred on them as individuals to guide staff when delivering care. People contributed to the planning and review of their care and there were opportunities to make a complaint or to raise a concern should this be required.

People were mainly satisfied with the timing of their calls and the punctuality of staff. Staff stayed with people for the required amount of time.

The service was well-led and people had opportunities to give feedback to the service. The registered manager carried out quality checks of the service to make sure they offered good quality care, such as checking that the records staff completed were accurate.

Staff felt supported and knew the provider’s expectations of them. The provider had a range of processes to make sure this occurred such as individual and group meetings with the registered manager.

The registered manager was aware of their registration requirements including notifying CQC of significant incidents that occurred.