Dream Elite Care

Updated 4 April 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector.

Service and service type:

This service is a domiciliary care agency. It provides care to people living in their own houses and flats. Not everyone using Dream Elite Care receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection:

This inspection was announced. We gave the service 24 hours' notice of the visit to the office because we needed to be sure that staff would be available.

What we did:

Before the inspection we reviewed all the information relating to we have in relation to this service. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed other information we had relating to the service. including notifications. A notification is information about important events which the provider is required to send us by law.

We visited the office location on 20 February 2019 and visited three people in their own homes. We made phone calls to relatives and some people who use the service on 21 February 2019

During the inspection we:

• Spoke with five people who received the regulated activity of personal care

• Spoke with the registered manager

• Spoke with six members of care staff

• Spoke with two relatives of people who used the service

• Looked at two people’s care records

• Looked two staff files including all aspects of recruitment and training records

• Looked at records relating to the management of the service. These included audits of medicines, health and safety.

Updated 4 April 2019

About the service:

Dream Elite Care is a domiciliary care agency. It provides care to people living in their own houses and flats in the community. At this inspection it provided the regulated activity of personal care to 17 people.

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People’s experience of using this service:

¿ People felt safe having their care provided by staff. Risk assessments were in place to identify possible risks to people`s health and well-being and measures were implemented to mitigate the risks. Staffing numbers were appropriate to meet the needs of the people using the service. Medicines were safely managed and people received their medicines as prescribed.

¿ Staff knew the people they supported well. They received regular training updates. People’s care and health needs were identified so staff could meet these. People were supported to maintain good health. Staff worked within the principles of the Mental Capacity Act (MCA) 2005 and ensured people consented to their care.

• 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.

¿ People’s privacy and dignity was protected and promoted. People had developed good relationships with staff who had a good understanding of their needs and preferences.

• People told us staff were kind and caring and helped them. People were involved in discussions about their care and felt that communication with staff and the management was good. People told us they had not had to raise any concerns. They said they would be confident they would be listened to should they need to do so.

¿ People received person centred care that met their needs. Care plans gave details of how people would like their needs met.

¿ People and staff told us the service was well managed. Staff said the service had a family atmosphere and they felt well-supported. Managers and staff worked in partnership with other services to ensure people got the care and support they needed.

Rating at last inspection: This is the first ratings inspection for Dream Elite Care.

Why we inspected: The service was inspected as it had not had an inspection since registering with the CQC in December 2017.

Follow up: We will continue to monitor all intelligence received about the service to ensure the next inspection is scheduled accordingly.

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