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Dynamic Support Requires improvement

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

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 September 2018

The inspection took place on 12 and 14 July 2018. The inspection was announced. This service is a domiciliary care and supported living agency. It provides personal care to any adults who require care and support in their own houses and flats in the community. In addition, this service provides support to six people living in two ‘supported living’ settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. The Care Quality Commission does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Not everyone using Dynamic Support services receives a regulated activity. The Care Quality Commission only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do receive personal care we also take into account any wider social care provided. At the time of inspection, the service supported 12 people who were receiving personal care in their own homes. The service provides support to older people, people with physical disabilities, sensory impairment and people living with dementia.

At the time of inspection there was 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.

The service was last inspected on 21 January 2016 and had an overall rating of Good. At this inspection we found the service to be overall Requires Improvement.

People’s medication records did not always reflect that they were administered safely. We recommend that the provider seeks guidance around the proper and safe management of medicines.

Records did not always contain sufficient detail on how to meet people health conditions. We have made a recommendation that the provider seeks guidance in line with best practice on specific health conditions.

Quality assurance audits had not always taken place in relation to safe management and administration of medicines. We have made a recommendation that the provider seeks guidance in line with best practice on the administration and management of medicines.

Staff understood their responsibilities to keep people safe from abuse.

Staff felt confident to use the whistleblowing policy if required and felt management would act on concerns.

Care plans demonstrated a commitment to person centred care and risks to people were assessed and managed.

Care and risk plans were reviewed and the service worked in partnership with external agencies to meet people's needs.

Staff had a good understanding of people's needs and were kind and caring.

Staff understood the importance of respecting people's dignity and upholding their right to privacy.

People's nutritional needs were catered for and the level of support provided was dependant on people's abilities. Staff told us how they worked alongside people to prepare their own meals where they were able.

The provider had continuity plans in place to ensure that people's support needs would still be met in emergency situations. Infection control policies and procedures were followed to ensure the control of infection.

The registered manager and the management team strived at creating an inclusive environment to strongly encourage staff, people and their relatives to be involved in the service.

Staffing levels were monitored by the registered manager to ensure sufficient staff were on duty to keep people safe.

Staff received the training they required to help them keep people safe, and were supported with regular supervision and annual appraisals.

The overall rating of the service is Requires Improvement. This is the first time the service has been rated Requires Improvement.

Inspection areas

Safe

Requires improvement

Updated 18 September 2018

The service was not always safe.

People’s medication records did not always reflect that they were administered safely.

Staff understood their responsibilities to keep people safe from abuse.

Staff felt confident to use the whistleblowing policy if required and felt management would act on concerns.

There was sufficient staff to meet peoples needs.

Effective

Good

Updated 18 September 2018

The service remains Good.

Caring

Good

Updated 18 September 2018

The service remains Good.

Responsive

Good

Updated 18 September 2018

The service remains Good.

Well-led

Requires improvement

Updated 18 September 2018

The service was not always well led

Care plan records did not contain sufficient guidance on how the service meets people’s specific health needs.

Quality assurance checks did not always take place.

The provider listened to, and acted on, feedback from people, their relatives and members of the staff team.

The provider had positive relationships with other professionals.