The Care Quality Commission
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Destiny Nursing & Care Agency Ltd

Overall: Requires improvement read more about inspection ratings

5 Norfolk Gardens, Borehamwood, Hertfordshire, WD6 2LS 07950 461139

Provided and run by:
Destiny Nursing & Care Agency Ltd

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

All Inspections

During an assessment under our new approach

Assessment activity took place between 1 and 15 October 2025. We visited the service on 1 October 2025. Destiny Nursing and Care Agency is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to people of any age, including those with dementia, mental health needs, or physical disabilities. At the time of this assessment, they were providing personal care and support to 5 people living in their own homes. This was the first assessment of this service under our single assessment framework, carried out due to the length of time since our last inspection. We announced the assessment which was completed by 1 inspector. We received feedback from 5 staff and 4 professionals. We spoke with 2 relatives.

We looked at all quality statements and identified breaches in regulations in relation to good governance.

The service had enough staff. There were systems and processes to safeguard people from the risk of abuse. People’s care plans and risk assessments contained some inconsistencies but included personalised information for staff to meet their individual needs. Staff provided dignified care and understood people’s communication needs. There was a positive culture within the service with staff feeling well supported by their manager and colleagues. There was room for improvement with the systems and processes to monitor the quality of the service, particularly around monitoring staff training and competence. The registered manager was responsive to feedback where improvements were required.

19 October 2017

During a routine inspection

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to people of any age, including those with dementia, mental health needs, or physical disabilities. At the time of this announced inspection, they were providing personal care and support to 13 people living in their own homes. This was the first inspection of this service at this location.

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 2008 and associated Regulations about how the service is run.

People and their relatives provided good overall feedback about the service, particularly about the caring nature of their regular staff. However, some told us timekeeping was an issue as staff were not always arriving when they were expected. We found visit scheduling arrangements were not always robust enough to ensure people consistently received expected care visits on time. However, no-one reported visits were being missed, and it was clear that the service provided people with the same staff members where possible.

The service supported people well with ongoing healthcare matters. There was effective collaborative working with healthcare professionals, in part due to the registered manager’s previous experience of community nursing. People were supported to have comfortable and dignified end-of-life care where this was needed.

The service assessed and managed risks relating to care delivery in people’s homes. This included for safe support with medicines, hoisting, and nutrition where part of agreed the care package.

People were supported to express their views and make decisions about their care and support. Consent to care was sought in line with legislative principles. Care plans were in place to formalise the process.

People received care and support from staff who responded to their individual needs and preferences, and who had the knowledge and skills needed for their care roles. The service listened to and learnt from people’s concerns and complaints, and responded well when further care support was needed as the registered manager knew people well and provided hands-on support at short notice where needed.

The service had systems to help protect people from abuse and ensure safe staff recruitment practices occurred.

The provider asked people’s views on how the service operated so as to improve, and promoted a positive working culture for staff. Audits of care records had been embedded, to help ensure good quality care was occurring. However, there were no documented arrangements for oversight of quality checks of staff and quality visits to people using the service, to ensure these covered everyone. In conjunction with the staff visit scheduling concerns, this demonstrated the service was not consistently well-led.