We carried out a review of the data available to us about 365 Divine Care on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 365 Divine Care, you can give feedback on this service.
365 Divine Care is a domiciliary care agency providing personal care to people in their own homes, this included older people and also younger adults with physical disabilities.
At the time of the inspection, there were six people using the service who were receiving help with personal care. The Care Quality Commission (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.
People’s experience of using this service and what we found
We found that the provider had made improvements in relation the breaches of regulations we found at the last inspection.
People and their relatives were happy with the care they received and said care was delivered in a safe way. They said care workers attended on time and stayed for the full duration of their visit. The provider operated safe recruitment procedures. Risks to people, included those associated with medicines support were assessed, and management plans included ways in which the risks could be reduced to keep people safe from potential harm.
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.
The provider carried out assessments before people started to receive care and people were supported in relation to their health and dietary needs. The provider supported its staff to attend training which helped to ensure they were competent in carrying out their roles and staff attended regular supervision meetings.
Care plans were individual to people, reflecting their current needs and contained person centred information such as their likes and dislikes and how they wished to be cared for. The provider encouraged feedback from people, relatives and staff and people were given details on who to contact if they were unhappy about the care they received.
The service was well-led. The registered manager was open to learning and improving the service, listening and acting upon feedback received. Quality assurance checks were in place to monitor the quality of service that people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 17 June 2021) and there were breaches of regulation in relation to safe care and treatment and staffing. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection enough improvement had been made and the provider was not in breach of regulations.
At our last inspection we recommended that the provider reviews its processes around meeting the accessible information standards and its quality assurance processes. At this inspection we found the provider had acted on these recommendations and had made improvements.
Why we inspected
This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
365 Divine Care is a domiciliary care agency providing personal care to people in their own homes. At the time of the inspection, there were two people using the service.
People’s experience of using this service and what we found
Relatives of people using the service were satisfied with the care their family member received. However, we found a number of issues that needed addressing.
Relatives told us they had no concerns about the safety of their family member. However, there were some areas of concern we identified which meant we could not be assured that people received care in a safe manner. People’s medicines support plans and risk assessments meant to identify and mitigate risk were not sufficiently detailed enough.
Staff training was not always delivered by an appropriate qualified person which meant we could not be assured that training was delivered in line with best practice.
Care plans contained limited information about people’s preferences and support plans did not identify the most appropriate method of how people communicated where they were not able to communicate verbally. We have made a recommendation about these and will follow this up at our next inspection.
Quality assurance checks were not robust in identifying the concerns we found during the inspection. We have made a recommendation about this and will follow this up at our next inspection.
Despite the above, relatives of people told us they were satisfied with the care and support their family members received. They said that care workers were caring and respectful and provided care in a way that promoted people’s dignity and wellbeing.
Staff recruitment was safe and robust. Care workers had regular supervision and told us the registered manager was very supportive. They followed up to date guidance in relation to infection prevention and control. They wore appropriate personal protective equipment and were routinely tested for COVID-19.
People’s care needs were assessed before they started to receive care and care plans developed accordingly. Any support needs in relation to nutrition and health were being met.
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.
Rating at last inspection
This service was registered with us on 25 March 2020 and this is the first inspection.
Enforcement
At this inspection we identified breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around safe care and treatment and staff training. Details of action we have asked the provider to take can be found at the end of this report.
Why we inspected
This was a planned inspection based on when the service registered with us.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk