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Discovery Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 October 2019

About the service

Discovery Home is a domiciliary care agency. It provides personal care to people living in their own homes. It provides a service to children and younger disabled adults. 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 the provider was supporting 79 people in the London Boroughs of Tower Hamlets and Newham, however only 17 people were receiving personal care. The remaining people were supported with befriending and outreach support.

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

Although there were monitoring processes in place, there was not an effective system in place to ensure accurate records about the care and support people received were being completed or audited to ensure their needs were being met.

Minor improvements were needed to ensure safer recruitment processes were followed and evidence of satisfactory conduct in previous employment within the health and social care industry had been obtained.

Relatives were positive about the kind and compassionate attitude of the staff team. One relative said, “I am very happy and would definitely recommend them.”

Relatives told us how important it was that staff could communicate with them and their family members in their own language and understood their cultural requirements.

Relatives were reassured with the skills and experience of their regular care workers when managing complex health conditions and behaviours that challenged the service.

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.

Relatives spoke positively about the management of the service and felt any issues would be dealt with appropriately by the registered manager. Relatives told us they felt comfortable approaching the management team if they had any concerns.

People were supported by a staff team that felt motivated working for the provider and praised the support they received.

We have made two recommendations that the provider ensures guidelines for staff to follow to minimise assessed risks are updated in people’s care records and safer recruitment processes are followed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 5 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified one breach in relation to good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality. 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 areas

Safe

Requires improvement

Updated 22 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 22 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 22 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 22 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 October 2019

The service was not always well-led.

Details are in our well-led findings below.