We carried out a review of the data available to us about Desired Care 4 U Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Desired Care 4 U Limited, you can give feedback on this service.
Desired Care 4 U is a domiciliary care service providing a service to people living in their own home. This announced inspection took place on 30 November 2021. We gave the provider 24 hours' notice that we would be visiting the service because we wanted to make sure staff and people would be available for us to speak with. At the time of the inspection there were forty eight people using the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care.
People’s experience of using this service and what we found
There was a recruitment process which ensured staff were recruited safely. However, we found the process did not always ensure work related references were verified when they had been provided via a personal e-mail address. The registered manager addressed this issue during the inspection to ensure the reference process was robust and references were obtained from suitable referees.
Staff received training to ensure they had the skills and knowledge to support people safely, this included safeguarding vulnerable adults. Staff knew what action to take if they identified any safety concerns during their work. 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. Staff told us they received regular, supportive supervisions.
Risks to individuals were identified and action was taken to reduce risks. Medicines were managed and monitored to ensure they were given safely and as prescribed. Care staff followed the medication procedure and received training and monitoring.
We found on the whole people received support from the same staff members to ensure they received continuity of care. This provided people with the opportunity to build positive relationships and trust. People told us they were supported by a staff team who showed them kindness and respect.
The management and care team ensured they supported people in a person-centred way to reflect people’s equality and diverse needs. People told us that where possible, there was flexibility when attending calls in response to people's individual's requests and needs.
We saw evidence that care calls were scheduled to ensure there was enough time for staff to travel between calls. The registered manager told us they would only accept new packages of care if they were able to provide staffing to meet the individual's needs safely.
People's needs were regularly reviewed to ensure the care provided was up to date. Care plans included information to ensure people's communication needs were understood. Staff were deployed accordingly to meet people’s preferred choice of language. This meant people were able to communicate effectively with staff members, ensuring their needs and wishes were met. The registered manager and staff team were committed to ensuring there was no discrimination relating to staff or people in the service.
The quality of care provided was continually assessed, reviewed and improved. People using the service, relatives and staff were given the opportunity to provide feedback.. Audits took place to ensure the quality of the service was maintained.
The service worked well with health and other professionals to ensure people's needs were met.
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 09 November 2018). At this inspection we found the service remained Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns.
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
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.
At our last inspection, on 14 June 2016, we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Staff had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff knew what action to take if they identified any safety concerns during their work. General risks and risks to individuals were identified and action continued to be taken to reduce them, as far as possible.
Medicine was administered as safely as possible. Care staff followed the medication procedure, completed medicine care plans and recorded medicine administration. We found that care plans had details about medication and how to support people.
People benefitted from continuity of staff, to ensure that relationships were built and people did not have to endure different staff for their care. Staff had received ongoing training to ensure that their skills were updated with current knowledge. The service did not accept a package of care unless they were able to provide staffing to meet the individual’s needs safely. The service followed a recruitment process which ensured staff were recruited safely.
The service worked closely with health and other professionals to ensure people’s needs were met in the best way possible.
People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
People continued to be supported by a committed and enthusiastic staff team who delivered care with kindness, respect and understanding. Staff told us they had built caring relationships with people and were able to meet their needs sensitively.
The service and care staff were aware of people’s equality and diversity needs and endeavoured to meet them.
The service was being flexible and responsive to people’s individual’s needs. It adapted and changed care packages in response to people’s choices and specific needs. People’s needs were regularly reviewed to ensure the care provided was up-to-date. Care plans included information to ensure people’s communication needs were understood.
The registered manager and the staff team were committed to ensuring there was no discrimination relating to staff or people in the service. The quality of care the service provided was continually assessed, reviewed and improved.
This was an announced inspection, which took place 03 February 2015. We gave the provider 48 hours notice that we would be visiting the service. This was because the service provides domiciliary care and we wanted to be sure that staff would be available. This was the first inspection of the service.
Desired Care 4 U Limited is a privately owned service, which provides a personal care service to people living in their own homes.
There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission 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.
All the people we spoke with said they received a safe service. Clear procedures were in place to ensure that people received a service that was safe; staff followed the procedures to ensure the risk of harm to people was reduced. The risk of harm to people receiving a service was assessed and managed appropriately; this ensured that people received care and support in a safe way. Where people received support from staff with taking prescribed medicines, this was done in a way that ensured the risk to people was minimised.
People told us that they felt that there were enough staff employed to meet their needs and offer them a reliable and flexible service. Everyone that used the service and their relatives felt the staff that supported them were trained and competent. Staff received the training development and support needed to ensure they did their job well and provided an effective service. Staff practice ensured that people’s rights were protected.
People received support with their food and health care needs where required. People were able to raise their concerns or complaints and these were thoroughly investigated and responded to, so people were confident they were listened to and their concerns taken seriously.
Everyone spoken with said they received a good quality service. The management of the service was stable, with robust processes in place to monitor the quality of the service.