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Inspection Summary


Overall summary & rating

Good

Updated 23 August 2019

About the service

Domiciliary Care Service, Knighton Road is a domiciliary care service. The service provides personal care to people living in their own homes. At the time of the inspection there were 80 older adults using the service.

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

A family member told us, “From the outset I have been involved with the care package. I would recommend this company 100%, without a doubt. They do what you expect them to do.”

People’s safety was promoted by staff who followed guidance on how to reduce potential risk. This included the use of equipment to support people moving around their home. People were supported by sufficient numbers of staff who had undergone a robust recruitment process. People were supported with their medicines. Staff training in key safety areas promoted people’s safety, which included staff knowledge and understanding of reporting potential safeguarding concerns, and following infection control procedures.

People’s needs and expectations of care were assessed, which included assessing people’s needs based on their cultural diversity and communication needs. Assessments were used to develop a package of care, to support the person at home. People’s needs were met by staff who had the necessary skills and knowledge, which included staff’s ability to communicate with people in their preferred language. Staff were supported through ongoing training and supervision to enable them to provide good quality care. Staff promoted people’s health by supporting them to take their medicine, and by liaising with health care professionals when required.

People were supported to have maximum choice and control of their life and staff supported them in the least restrict way possible and in their best interests; the policies and systems in the service supported this practice.

People and their family members spoke favourably about staff, and the positive and supportive relationships that had developed. They told us how they were supported by a core team of staff who had a caring and compassionate nature. They said staff considered their privacy, dignity and independence.

People and family members were involved in the development of care plans, which enabled staff to provide the care and support each person had agreed was appropriate to them. People’s views about their care were regularly sought, and changes made to people’s packages of care, where people’s needs changed. People were confident to raise concerns should they arise.

The management team were aware of their role and responsibilities in meeting their legal obligations. Systems to monitor the quality of the service were in place, and used to develop the service and drive improvement. The provider worked with key stakeholders to facilitate good quality care for people, by accessing training and shaping the provision of domiciliary care. They worked with key organisations to keep up to date with good 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, 7 February 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Good

Updated 23 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 23 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 23 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 23 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 23 August 2019

The service was well-led.

Details are in our well-Led findings below.