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Destiny Support Care

Overall: Good read more about inspection ratings

Quadrant Lodge, The Quadrant, Stevenage, Hertfordshire, SG1 1ER (01438) 488110

Provided and run by:
Destiny Support Care Limited

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

All Inspections

During an assessment under our new approach

Date of assessment: 03 February to 23 February 2026.

Destiny Support Care is a care at home service registered to provide personal care to adults in their own homes. People using the service may have learning disabilities, physical disabilities, mental health needs or be living with dementia.

We completed this announced assessment due to the length of time passed since our last inspection. The last rating for this service was Good (published 23 November 2017), following this assessment the rating remains Good. We looked at all quality statements under the 5 key questions.

At the time of this assessment, there were 117 people using the service. 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.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. At the time of the assessment, the service was supporting 1 person with a learning disability, and the provider had regard to ‘Right support, right care, right culture’.

People, relatives and staff offered positive feedback about their experiences of the service. People’s care preferences were known, and they were supported as individuals. People and their relatives were involved in assessments and reviews, and we saw this reflected in care plans and associated records.

Quality checks, audits and surveys were used by the provider to have oversight of the service. People and their relatives knew how to give feedback, felt listened to and felt the provider was responsive.

There were sufficient members of staff employed at the service. People received care from consistent staff, who knew them well, and who provided timely care visits. Staff received training, supervision and were supported via spot checks.

Care was centred around the person, and reflected their likes, dislikes and preferences alongside their assessed needs. Staff understood and managed risks related to the care provided and people’s home environments, which helped maintain safety. Information regarding changes in people’s needs, incident and accidents, and any feedback following events was shared via consistent communication and teamwork.

Medicines were managed safely, with positive changes having been made for people as a result of auditing. People’s health needs were known, and staff knew how to response to any changes in people’s health or wellbeing.

We received positive feedback about the registered manager and senior staff. The management team were experienced, qualified and knowledgeable in their roles. Staff told us they enjoyed working for the service and felt well supported.

6 November 2017

During a routine inspection

This inspection site visit took place on 07 November 2017. We gave the provider 48 hours’ notice of the inspection visit because the agency is small and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be available.

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 older adults and younger disabled adults. Not everyone using Destiny Support Care receives a regulated activity; Care Quality Commission (CQC) only inspects the service being received by people provided with ‘personal care’ such as 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 this inspection 18 people received support with their personal care.

The service had a registered manager in post. 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.

In November 2016 a focussed inspection had been undertaken in response to concerns raised with CQC, and at that time we found that people had not always received their care at the agreed times. Since that inspection the provider had moved offices which had resulted in a change to their registration status and Destiny Support Care now appeared as being ‘newly registered’. However, as the provider and staff team remained the same and continued to provide the same service we have taken the provider’s inspection history into account when we carried out this inspection. At this inspection we reviewed the actions taken by the provider in response to the concerns raised in November 2016 and found that people still felt that their care was sometimes later than agreed. People told us that this did not have any negative impact to their safety or wellbeing and that they understood that staff would sometimes be later than planned due to traffic problems or an unavoidable delay at a previous care visit.

People felt safe receiving their care from staff of Destiny Support Care. Staff had been trained how to safeguard people from avoidable harm and about the potential risks and signs of abuse. Risks to people's health, well-being or safety were assessed and reviewed at regular intervals to take account of people's changing needs and circumstances. There were enough staff available to meet people’s needs and safe recruitment practices were followed to help make sure that staff were suitable for the roles they performed. People received their medicines regularly and were satisfied that their medicines were managed safely. Staff took appropriate actions to protect people from the risk of infection. The management team demonstrated an open culture of learning from complaints, shortfalls identified by routine audits and other relevant events.

People received care from a staff team who knew them well and received the training and support to meet their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff provided support for some people to have food and drink of their choice. Staff supported people to access healthcare appointments if needed.

People, and their relatives were satisfied with the staff that provided people’s care. Staff respected people’s dignity and encouraged them to remain as independent as possible. People received care, as much as possible, from the same care staff or team of care staff members. People's care records were stored in a lockable office in order to help maintain their dignity and confidentiality. People were regularly asked about their care and support needs so that their care could be tailored to their changing needs.

People's care plans were sufficiently detailed to be able to guide staff to provide their individual care needs. People's care needs were reviewed regularly to help ensure the care provided continued to meet people's needs. Care was arranged around people’s wishes and needs. Concerns and complaints raised by people who used the service or their relatives were robustly investigated and resolved and the management team worked closely with complainants to help make sure that they were satisfied with the outcomes.

People felt that the registered manager was approachable with any concerns. All the people we spoke with told us that they felt Destiny Support Care was well managed, well run and said that they would recommend the service to other people. The registered manager demonstrated a good knowledge of the staff they employed and people who used the service. Staff told us that the management team was approachable, supportive and that they could talk to them at any time. There was a programme of checks undertaken routinely to help ensure that the service provided for people was safe. People received regular satisfaction surveys to complete to provide feedback about the service they received.