Dynamic Care Services Ltd Also known as The Business Box

Updated 11 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

Dynamic Care is a domiciliary care agency. It provides personal care to people living in their own homes. Everyone using Dynamic Care received the regulated activity; ‘personal care’. The Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided. At the time of our inspection, three people were receiving personal care.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 48 hours’ notice of the inspection visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.

Inspection site visit activity started on 28 March 2019 and ended on 1 April 2019. We visited the office location on 28 March 2019 to see the registered manager; and to review care records and policies and procedures. We also visited people in their own homes. We made calls to people, their relatives and staff on 29 March 2019 and 1 April 2019.

What we did:

We reviewed information we had received about the service since the last inspection. This included statutory notifications that the provider had sent us. A statutory notification is information about important events which the provider is required to send us by law. We sought feedback from the local authority and other professionals who work with the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During our inspection we spoke with two members of staff and the registered manager, two people using the service, and four relatives.

We reviewed a range of records. This included two people's care records, two staff files around staff recruitment and supervision and the training records for all staff. We also reviewed records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider.

Updated 11 April 2019

About the service:

Dynamic care is a domiciliary care agency. It provides personal care to people living in their own homes. At the time of the inspection three people were using the service. Everyone using Dynamic care received personal care.

People’s experience of using this service:

• People told us they felt safe receiving support from Dynamic care and that staff were kind, helpful, respectful and genuinely caring.

• People told us they had regular carers who arrived on time.

• People’s files contained detailed risk assessments which were reviewed regularly.

• People and relatives told us they were involved in the care planning.

• The provider followed effective recruitment procedures.

• Staff received training appropriate to their role.

• There were safeguarding and whistleblowing policies and procedures in place.

• People were being supported daily to make choices and decisions about their care and support and to be as independent as possible.

• People's right to privacy and confidentiality was respected.

• People’s individual and diverse needs had been identified before moving to the service and plans of care had been developed.

• Staff responded to changes in people's needs.

• When people needed referring to other health care professionals such as GP's

or district nurses, staff understood their responsibility to ensure they passed the information onto relatives so that this was organised or they assisted the person to call themselves.

• Audits were completed and reviewed regularly.

• People, relatives and staff told us they had regular contact with the manager and that they were approachable and friendly.

• The registered manager demonstrated an open and positive approach to learning and development.

Rating at last inspection:

At the last inspection the service was rated Requires improvement. (report published 27 March 2018)

Why we inspected:

This was a planned inspection.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for services rated Good.

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