Divine HomeCare Solutions

Divine HealthCare Solutions is a domiciliary care agency. At the time of the inspection they were providing personal care to 22 people in their own homes.

People’s experience of using this service:

People told us they felt safe with staff. They said staff were kind, able to meet their needs and supported them in a dignified, respectful way which maintained their privacy and independence. People’s preferences were respected and staff were sensitive and attentive to people’s needs. Staff knew people and their relatives well.

People were cared for by a team of staff who were skilled and competent in providing care and support. Safe recruitment practices had been followed by the provider.

The provider made sure people received support from the same staff where possible. Relatives of people using the service told us sometimes carers were late but they apologised and always stayed the duration of their visit. People and relatives said they would like more notice from the manager when there were changes to the rota.

People received a service which was personalised and met their needs. People’s needs were assessed before starting the service and were reviewed when there were changes to their condition. The service enabled them to remain as independent as possible and to live in their own homes.

Staff had access to up to date information about how to support people. Risks to people’s health, safety and well-being were assessed and management plans were in place to ensure risks were mitigated as much as possible. Staff were aware of their responsibilities to safeguard people. Communication with health and social care professionals was effective in ensuring people received joined up care.

People received their medicines safely and as prescribed. Medicine management practices were safe.

Quality assurance processes undertaken by the registered manager and the provider ensured people received good quality care that met their needs and respected their preferences.

Rating at last inspection:

At the last inspection the service was rated Good. The last inspection report was published on 21 December 2016.

Why we inspected:

This was a planned comprehensive inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned in line with our inspection schedule or in response to concerns.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Divine Homecare is a domiciliary care agency which provides personal care and support for people living in their own homes .There were 12 people receiving support with personal care.

This was the first rated inspection of the service since it was registered with us.

There was a registered manager in post. 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.

The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards. There were procedures in place and guidance was clear in relation to Mental Capacity Act 2005 (MCA) that included steps that staff should take to comply with legal requirements. Staff received training in the MCA; however not all staff were able to explain clearly to us what the MCA was about.

The provider had systems in place to safeguard vulnerable people from risk of abuse. They made sure that safeguarding alerts were raised with other agencies. All of the people who were able to talk with us said that they felt safe with staff providing the service; and said that if they had any concerns they were confident these would be quickly addressed by the registered manager. Relatives felt their people were safe in their home.

The agency provided sufficient numbers of staff to meet people's needs and provide a flexible service. The provider operated safe recruitment procedures. Staff had received regular individual one to one supervision meetings as stated in the provider's policy. People were supported with meal planning, preparation and eating and drinking.

People said that they knew they could contact the provider at any time, and they felt confident about raising any concerns or other issues.

The provider had quality assurance systems in place to monitor and improve the quality of the service provided. We saw that audits were being undertaken as a part of the monitoring process.

The provider was aware of and fulfilled the requirements of the service’s conditions of registration with the Care Quality Commission including notifications of serious incidents and accidents.

People spoke positively about the way the agency was run. The management team and staff understood their respective roles and responsibilities. Staff told us that the registered manager was very approachable and understanding.

You can see what action we told the provider to take at the back of the full version of this report.