Background to this inspection
Updated
25 May 2021
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
This inspection was carried out by one inspector
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 a manager registered with the Care Quality Commission. This means that they 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 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 on 6 May 2021 and ended on 17 May 2021. We visited the office location on 6 May 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We looked at all the information which we hold about the service including notifications. This information helps support our inspections. We used all this information to help plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.:
During the inspection
We spoke with one person who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, care co-ordinator and care workers.
We reviewed a range of records. This included three people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
25 May 2021
About the service
Destiny Integrated Care Limited is a domiciliary care agency providing personal care to people living in their own homes or flats. At the time of inspection, the service provided support to 40 people, of which 21 were in receipt of personal care.
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.
People’s experience of using this service and what we found
People spoke positively about the service they received and told us they would recommend the service to others. One person told us, “I can’t fault the care. The care is so good.” Another person said, “When they first came, I wasn’t sure, but now I know them they are brilliant.”
People were supported in a safe manner. Care plans and risk assessments provided clear guidance and direction for staff to reduce risk. People and relatives told us they had been involved in the care plan and review process.
Staff were familiar with people's care and support requirements and acted in a timely manner requesting appropriate professional support where they identified changes in needs.
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.
People told us they felt the staff cared for them in a caring and thoughtful manner and felt involved in all aspects of their care. Staff spoke with passion and enthusiasm about their role and those they supported.
The registered manager demonstrated the values of the service and supported staff in the delivery of care. Staff felt supported and valued by the registered manager and found the manager to be approachable at all times.
Quality assurance audits supported driving change and service improvements.
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 requires improvement (published 16 December 2019).
Why we inspected
This was a planned inspection based on the previous rating.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Destiny Integrated Care Limited on our website at www.cqc.org.uk.
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.