Background to this inspection
Updated
10 September 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had two managers registered with CQC. 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. In this case the registered managers were also the owners of the business.
Notice of inspection
We gave a short period notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started and finished on 1 August 2019.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used this information to plan our inspection.
During the inspection
We spoke with six people who used the service or relatives about their experience of the care provided. We spoke with both registered managers. As there were no staff employed at the time of the inspection we reviewed records to understand how the service worked when staff were employed. We reviewed a range of records. These included five sets of care records, three staff files and other records relating to the management of the service. These included the most recent staff and service user survey forms.
After the inspection
We reviewed information sent to us by the provider in the days following the inspection.
Updated
10 September 2019
About the service
D.Osteen Limited trading as D.Osteen Homecare Support is a home care service providing personal care to people in their own homes. At the time of our inspection there were eight people receiving personal care services. The two registered managers carried out all care calls at the time of our inspection, as there were no employed staff at this time.
People’s experience of using this service and what we found
People received care and support that was safe. The provider took steps to protect people from risks, including the risk of abuse or avoidable harm. Recruitment processes were in place to make sure when staff were employed they were suitable to work with people in their homes. The provider actively promoted safety around medicines and infection control.
People received care and support that was effective and based on thorough and detailed assessments and care plans. When staff were employed they were trained and supported to deliver care according to people’s needs, and worked with other agencies to deliver consistent and effective care. People were supported to have maximum choice and control of their lives; the policies and systems in the service supported staff to support people in the least restrictive way possible and in their best interests.
People had caring and kind relationships with their care workers and the registered managers. The provider worked to respect and promote people’s privacy, dignity and independence by encouraging people to be involved in their care.
People received care and support which met their needs and reflected their preferences. The provider complied with best practice guidance with respect to meeting people’s communication needs.
The service was well led. There was focus on meeting people’s individual needs, working in cooperation with others and continuous learning. This was supported by an effective management system appropriate for the size of the organisation.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk.
Rating at last inspection
This service was registered with us on 11 May 2018 and this was the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
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.