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Archived: Domiciliary Care Services Limited Good

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 1 March 2016

We carried out an inspection of Domiciliary Care Services Ltd on 1 and 2 February 2016. We gave the service 48 hours’ notice of our intention to carry out the inspection.

Domiciliary Care Services Ltd is registered to provide personal care to people living in their own homes. The agency’s office is located near the centre of Clitheroe, close to all local amenities. The agency provides a service to people residing in the Ribble Valley. At the time of the inspection there were 48 people using the service.

The service was managed by a registered manager. 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.

We lasted inspected this service on 13 November 2013 and found it was meeting the regulations in applicable at the time. Since the last inspection the agency had moved to a new office.

During this inspection we found the service was meeting the current regulations. However, we made one recommendation in relation to the implementation of the Mental Capacity Act 2005 (MCA). Whilst staff had received appropriate training, the principles of the Act had not been embedded into the assessment and care planning processes.

People and their relatives were satisfied with the service they received from Domiciliary Care Services Ltd. They told us they felt safe using the service. Potential risks to people’s health and well-being were assessed and managed effectively. Staff showed awareness of how to keep people safe and understood the policies and procedures used to safeguard people.

We found there were appropriate arrangements in place for managing people’s medicines.

Safe recruitment practices were followed and appropriate checks were undertaken, which helped to ensure suitable staff were employed to care for people. There were sufficient numbers of staff to maintain the schedule of care visits. Staff told us they felt supported and received regular supervision and support from the management team.

Where the service was responsible, people were supported to have a balanced diet that promoted healthy eating.

Staff were respectful of people’s privacy and maintained their dignity. All people spoken with told us the staff were kind and caring. People were actively involved in the development and review of their care plans. This meant people were able to influence the delivery of their care and staff had up to date information about people’s needs and wishes. People told us they usually received care from a consistent group of staff.

There was a quality monitoring system in place. The registered manager and supervisors undertook audits and checks were carried out to observe how the staff delivered care to people. People were asked for their views and feedback was acted upon to maintain or improve the service provided.

Inspection areas

Safe

Good

Updated 1 March 2016

The service was safe.

Staff knew how to recognise the signs of potential abuse and knew how to report issues.

Risks were identified and managed to help protect people and staff. Medicines were managed safely.

There were sufficient staff to provide safe, effective care. The recruitment systems ensured that staff had the right mix of skills, knowledge and experience and were suitable to work with people using the service.

Effective

Requires improvement

Updated 1 March 2016

The service was not consistently effective.

Staff received regular training which helped to provide them with the knowledge and skills to meet people’s needs. Staff received regular supervision and support.

Whilst all staff had received training and had an awareness of the Mental Capacity Act 2005, the principles of the Act were not applied in the assessment and delivery of care.

People's health and wellbeing was monitored and they were supported to access healthcare services when necessary.

People were supported when required, to eat and drink.

Caring

Good

Updated 1 March 2016

The service was caring.

People were involved in making decisions about their care.

People were treated with kindness and respect. They were encouraged and supported to be as independent as they wished to be.

People's choice and their preferences were respected.

Responsive

Good

Updated 1 March 2016

The service was responsive.

People’s needs were appropriately assessed.

People’s care plans had sufficient detail to reflect how they wanted to receive their care and support. The service responded quickly to people’s changing needs and appropriate action was taken to ensure people’s wellbeing was protected.

A complaints process was in place and people and their relatives told us they felt able to raise any issues or concerns.

Well-led

Good

Updated 1 March 2016

The service was well led.

People and staff told us the agency was well managed and ran smoothly.

There were systems in place to consult with people and to monitor and develop the quality of the service provided.