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Inspection Summary

Overall summary & rating


Updated 7 February 2017

This inspection took place on 16 January 2017 and was announced.

Domiciliary Care Services (UK) Limited is registered to provide personal care and support for people living within their own homes. At the time of our inspection there were 88 people using the service. People's packages of care varied dependent upon their needs. There were 33 staff employed who provided people’s care.

The previous comprehensive inspection of 4 January 2016 found improvements were needed and a breach in the regulations. The focused inspection of 3 November 2016 found the service to be compliant with the regulations.

The service had 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.

People’s safety and welfare was promoted by staff that understood and had received training on their role in protecting people from potential harm and abuse. Safety and welfare was further promoted through the assessment and on-going review of potential risks to people. Where risks had been identified measures had been put into place to reduce their likelihood, which were recorded within people’s records and understood and implemented by staff.

Staff upon their recruitment had their application and references validated and were checked as to their suitability to work with people, which enabled the provider to make an informed decision as to their employment. Staff underwent a period of induction and training, which included their being introduced to people whose care and support they would provide. Training provided to staff and staff understanding of their role and responsibilities meant people were supported appropriately with all aspects of their care, which included support with their medicines.

Staff understood the importance of seeking people’s consent prior to providing care and support. Staff were aware of people’s rights to make decisions and were able to tell us how they encouraged people to express their opinions on their care and support. Staff liaised with a range of health care professionals and kept in contact with people’s family members where they had concerns about people’s health.

The open and inclusive approach showed by staff from the service to people meant those using the service and family members had confidence in contacting staff at the service, knowing they would be listened to. This had a positive impact on people. For example, staff from the service were able to provide information and liaise with other agencies to ensure people’s needs were met. The service provided was flexible to meet people’s individual needs and people spoke positively about the attitude and approach of all staff.

The provider had acquired and continued to implement a quality audit system, which assisted them in determining whether they provided quality care and support to people within their own home.

Inspection areas



Updated 7 February 2017

The service is safe.

People were protected from abuse because staff had an understanding of what abuse was and their responsibilities to act on concerns.

Risks to people's health and wellbeing had been assessed and measures were in place to ensure staff supported people safely.

There were sufficient numbers of staff available to keep people safe who had the appropriate skills and knowledge. Safe recruitment systems were followed to ensure staff were suitable to work with people who used the service.

People received support with their medicine which was managed safely.



Updated 7 February 2017

The service is effective.

People were supported by staff who had the appropriate knowledge and skills to provide care and who understood the needs of people.

The provider and staff had an understanding of the Mental

Capacity Act 2005 and understood their role in promoting people’s rights and choices in all aspects of their care and support.

People were provided with support, where required, to meet their dietary requirements.

People were supported by staff who liaised effectively with health care professionals, to promote their health and welfare.



Updated 7 February 2017

The service is caring.

People were supported by a consistent group of staff, who they had developed positive professional relationships with.

People or their representatives were involved in the development and reviewing of care plans, which recorded their views about their care.

People were supported by staff that were committed to the promotion of people's rights and who listened too and respected people’s wishes.



Updated 7 February 2017

The service is responsive.

People's needs were assessed prior to receiving a service and were regularly reviewed. Staff knew how to support people and took account of people's individual preferences in the delivery of care.

People had not raised any concerns or complaints, however they were knowledgeable as to how to raise a concern and confident that their concerns would be listened to.



Updated 7 February 2017

The service is well-led.

The registered manager provided an open and inclusive service which enabled people using the service and their family members to seek advice and support.

People's views and that of their family members were sought and information was provided and shared about the service.

Systems for monitoring the quality of the care were in place. The registered manager had received positive comments from those using the service, family representatives and social care professionals involved in people’s care.