Desire Care - Burton

Updated 24 May 2022

Inspection team

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by an inspector, an inspection manager and an Expert by Experience.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

The service is not required to have a manager registered with the Care Quality Commission because the provider is also the manager. This means they are solely, legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service more than 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority. We used all this information to plan our inspection.

During the inspection

We spoke with nine members of staff including care staff, a care coordinator, a quality assurance manager, and the provider/manager.

We reviewed a range of records, including six people’s care folders and medicine records plus multiple care notes. We looked at seven staff files in relation to safe recruitment.

After the inspection

The Expert by Experience made phone calls and spoke with two people who used the service and eight relatives of people who used the service.

We continued to seek clarification from the provider to validate evidence found. We looked at a variety of records relating to management of the service; including quality assurance records, policies and staff training records.

Updated 24 May 2022

About the service

Desire Care – Burton is a home care service providing personal and care support to people who live in their own homes. At the time of our inspection the service supported 100 people.

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

We have made a recommendation in relation to COVID-19 testing guidance.

Governance systems were effective in monitoring and mitigating risks to people. Improvements had been made to care plans which were detailed and person-centred.

Staff wore appropriate Personal Protective Equipment (PPE) to reduce the risk of cross contamination and infection.

Relatives told us they felt people were safe, staff generally arrived on time, and two carers arrived when this was identified as a need. Relatives also told us they felt the service was well managed.

There were enough suitably trained staff available to support people safely. Recruitment files showed all pre-employment checks had been made to ensure only staff who were suitable to work with people were employed.

Staff administered medicines as prescribed and recorded this accurately in peoples MARS (Medication Administration Records) which were regularly audited to ensure concerns could be identified and addressed promptly.

We saw partnership working between different professionals and health organisations in people’s care folders.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 April 2021). At our last inspection we found a breach of the regulations in relation to quality monitoring systems. The provider completed an action plan after the last inspection. At this inspection we found improvements had been made and the provider was no longer in breach of this regulation.

Why we inspected

We carried out an announced inspection of this service on 17 March 2022.

We undertook this focused inspection to check if the provider had made improvements and if they were now meeting the legal requirements. This report only covers our findings in relation to the key questions safe and well-led.

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 not changed following this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Desire Care - Burton on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.