We carried out a review of the data available to us about Dominion Care Services 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 Dominion Care Services Limited, you can give feedback on this service.
Dominion Care Services Limited is a domiciliary care service that provides personal care to adults with a range of support needs. At the time of the inspection the service was providing personal care to 1 person living in their own home in the local community.
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
At our last inspection we found the service required improvement. At this inspection we found the provider had taken action to address our concerns.
Staff were recruited safely. The provider had systems in place to ensure pre-employment checks were carried out. There were enough staff to ensure people received the support they required.
People told us they felt safe with the care and support they received.
The provider had systems in place to assess risks to people before they commenced using the service. People’s risk assessments were linked to their care plans and were regularly reviewed and updated.
Policies and procedures were in place to prevent and control infection. Staff had received training and had access to personal protective equipment to carry out their care roles safely.
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.
The provider had systems in place to ensure the quality of care was monitored effectively. People’s views of their support were sought. Regular unannounced spot checks of care in people’s homes had been carried out.
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 9 January 2023) and there was a breach 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.
At our last inspection we recommended that the provider review their quality assurance monitoring procedures. At this inspection we found the provider had acted on this recommendation and improvements had been made
Why we inspected
We carried out an inspection of this service on 20 July 2022. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.
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 Safe and Well-led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Dominion Care Services Limited is a domiciliary care service that provides personal care to adults with a range of support needs. At the time of the inspection the service was providing personal care to two people living in their own homes in the local community.
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
People and relatives told us they felt safe with the care and support they or their relative received. However, despite positive feedback we found concerns with staff recruitment and management oversight.
The service had systems in place to monitor the quality and safety of the service. However, these systems and processes were not always effective at identifying and addressing issues within the service.
We found safe recruitment procedures were not being followed.
The provider had systems in place to assess risks to people before undertaking their care and support. However, we found some information about people’s risks was not always consistent across their care records.
Policies and procedures were in place to prevent and control infection. However, people and relatives told us PPE was not always worn appropriately.
People were supported to access and maintain a balanced and healthy diet where required.
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.
People were supported by staff who were skilled and trained to carry out their role. Staff told us they were well supported through supervision and team meetings.
People and their relatives told us they were supported by kind and caring staff that respected their privacy and dignity.
People and their relatives told us they were involved in planning and reviewing their care. People were supported to pursue their interests with support where required.
The management team sought the views of people using the service. Overall people and their relatives told us they were satisfied with the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 May 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.
Enforcement and Recommendations
We have identified a breach in relation to staff recruitment at this inspection. We have made a recommendation regarding management oversight. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.