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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 March 2019

About the service: Unicare Devon is a domiciliary care agency that was providing personal care to 77 people at the time of the inspection. It supports people with different needs and backgrounds including people with mobility, learning, or sensory support needs, and older people with dementia. Unicare Devon also provides enabling and support services to people in the Newton Abbott area these activities are not regulated and so we did not inspect this side of the service.

People’s experience of using this service:

Risks associated with people’s care needs were not always appropriately assessed and risks that staff may have faced were not documented.

The service did not have up to date assessments of care needs and information for staff on how to provide support to people using the service.

Quality assurance systems to assess, monitor and improve the quality and safety of the service were not in place.

Some care files lacked personalised information on how people wanted to have their care delivered. Staff knew people well and reflected what people told us about themselves.

Information was available to people in accessible formats if they needed it. The service treated people with dignity and respect and staff had training in equality and diversity.

People told us that occasionally staff were late but they stayed for the duration of the visit and met their needs.

The service had a caring, person centred ethos, there were several examples where staff had gone over and above what had been expected of them. People and relatives told us staff were kind and caring.

People were offered choice, in how they had their personal care delivered, what food staff prepared for them and what clothes they wore.

People were supported by staff who had been through a robust recruitment process that checked they were safe to work with people who may be vulnerable.

Staff and the registered manager knew how to spot signs of abuse and how to report them. Staff had attended safeguarding adults training.

Staff felt supported by the registered manager and listened to when they gave feedback.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practise. People told us staff asked them for consent before supporting with care tasks.

We found the service was in breach of two regulations relating to safe care and treatment and good governance.

Further information is in the detailed findings below.

Rating at last inspection: Unicare Devon was rated good at its last inspection on 14 July 2016, the report was published on 3 August 2016.

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will ask the provider to send a report of actions to us within a specific timeframe relating to the breaches of regulation we have identified in this report. We will continue to monitor the intelligence we receive about the service, and invite the provider and registered manager to meet with us regarding how they plan to make improvements to the service.

Inspection areas

Safe

Requires improvement

Updated 1 March 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 1 March 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 1 March 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 1 March 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 1 March 2019

The service was not always well-led.

Details are in our Well-Led findings below.