Archived: Divine Motions Acacare Limited

Updated 20 October 2018

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

This inspection was conducted to follow-up on concerns identified at our inspection in December 2017 and to ensure the provider had implemented their action plan. The inspection took place on 7 September 2018 and was announced. The provider was given 48 hours’ notice of the inspection because the location provides a domiciliary care service and we needed to be sure the registered manager would be available at the registered office. The inspection was conducted by an inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience made calls to people who used the service.

Before the inspection we spoke with a representative of a local authority which commissions the service. We reviewed the information we held about the service including the Provider Information Return. This is information we require providers to send to 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 also looked at reports from previous inspections, the provider's action plan and statutory notifications submitted by the provider. Statutory notifications contain information providers are required to send us about significant events that take place within services.

During the inspection we spoke with the registered manager and deputy manager. We looked at ten people’s care records, four staff files, medicines administration records (MAR) for five people and other records relating to the management of the service.

After the inspection, we spoke with twelve people using the service, two relatives and five staff. We requested further information from the provider regarding staff and this was provided promptly.

Updated 20 October 2018

This inspection took place on 7 September 2018 and was announced. Divine Motions Acacare is a domiciliary care agency which provides personal care to people in their own homes. It provides a service to older adults and younger disabled adults. People received support through scheduled visits. At the time of our inspection there were 98 people using the service.

The service had a registered manager who had been in post since 2014. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

We previously inspected the service in December 2017. At that inspection we gave the service an overall rating of "Requires Improvement". This was because we found the provider did not always provide safe care and treatment or notify the CQC of notifiable events and we found there was a lack of effective systems to assess and monitor the quality of care people received. The provider was required to send us an action plan detailing how and when they planned to make the required improvements. This inspection was conducted to check that the required improvements had been made.

People told us they felt safe whilst being supported by the staff. People were protected from the risks of abuse. Risks associated with people’s care had been identified and there was guidance for staff on how to manage these risks and keep people safe. Accidents and incidents were reported in line with the provider's procedures and the registered manager reviewed them to make sure the correct action was taken in response. Staff understood their responsibilities in regard to infection control and used protective equipment, such as gloves, when required.

People’s needs were assessed. They had a care plan which reflected the support they needed and provided guidance for staff. People were supported to maintain their health and had access to healthcare professionals. People’s medicines were managed safely and they received them as prescribed

Staff had been recruited safely. They had the training and skills to provide people with effective care and support. They received appropriate support from the provider through regular supervision and performance review. There were sufficient staff to provide people with the care they needed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems in the service supported this practice. Staff had an understanding of the Mental Capacity Act 2005 and how it impacted on the people they supported.

People received care that was responsive to their needs. Staff were caring and respected people’s privacy and dignity. People were usually supported by the same staff who knew them well and understood their needs. People were involved in making decisions about the level of care and support they needed. People told us they knew how to complain.

The provider had effective systems in place to assess and monitor the quality of care people received.