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Inspection carried out on 17 July 2019

During a routine inspection

About the service

DMC Signature Care Limited is a domiciliary care service providing personal care to older people, children and young adults in their own homes.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection two people received help with their personal care.

People’s experience of using this service and what we found

People were cared for by staff who they described as kind, caring, passionate and patient. People’s dignity and privacy was maintained, and people felt in control of their lives.

People had individualised care plans which ensured they received person-centred care. Plans considered people’s preferences likes and dislikes and their cultural and religious backgrounds. People knew who to

speak to raise concerns and were confident they would be listened to.

People were cared for safely and staff understood their responsibilities to keep people safe from abuse or harm. Risk assessments were in place which ensured that staff knew what to do to mitigate the risks

identified. People received their medicines safely and there were effective practices in place to protect people from infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported

this practice. Staff received the support they required and had access to training.

The provider was open and honest and strived to look at ways to improve the service. Staff felt well supported and people were confident in the service. Staff liaised with other health professionals and looked at ways to improve people's life experiences.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

When we inspected in February 2019 we were not able to rate the service as they had only been supporting one person for a short time.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 25 January 2019

During a routine inspection

About the service:

DMC Signature Care Ltd is a domiciliary care agency, providing personal care to people in their own homes. On the day of inspection, the service was providing personal care to one person.

People’s experience of using this service:

We have been unable to rate this service as they were providing personal care for only one person.

The service had 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 and associated Regulations about how the service is run.

The provider did not have all the systems in place to assess all of people’s risks. We have made a recommendation that the registered manager sources assessment tools that are evidence based.

The provider had recruitment procedures in place, but these needed updating to ensure all staff had their pre-employment checks carried out in a timely way.

The registered manager was continuing to develop their quality monitoring systems.

The person was involved in the planning of their care. Care plans were person centred and updated as their needs changed. The person received their care as planned.

The person received their care from a consistent staff team who knew them well. Staff had been employed to meet the person’s cultural and spiritual needs.

Staff had received training and support to carry out their roles. Staff understood their roles and responsibilities to safeguard people from the risk of harm.

The person was supported to access relevant health and social care professionals. There were systems in place to manage medicines in a safe way.

The person’s privacy and dignity was protected and promoted. Staff had a good understanding of the person’s needs and preferences.

There was a complaints system in place; the registered manager was exploring how to capture complaints where these were not in writing.

Rating at last inspection:

This was the first comprehensive inspection carried out at DMC Signature Care Ltd since they registered with CQC on 13 January 2017. The service had been dormant (not providing care) for a period of time; they commenced providing personal care from May 2018.

Follow up:

We will continue to monitor the service and inspect again as scheduled.