28 November 2023
During a routine inspection
Dream Home Care is a domiciliary care agency registered to provide personal care to people in their own homes. The service provides support to people of different abilities. The services they provide include personal care and medicines support. At the time of inspection, the service provided care to 34 people who received 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:
People and family members were satisfied with the care and support provided by the service. They told us they could rely on care staff to provide care safely and felt comfortable in their presence. They were complimentary about how the service was managed and told us that care staff were kind, caring and respectful. People’s privacy, dignity and independence was respected and promoted.
People were protected from abuse. Staff had received training on how to safeguard people and were aware of the procedure to follow if they suspected that people were subject to abuse.
Risks associated with people's care were assessed and monitored. Assessments were person centred and care was responsive to people's needs. Care plans provided staff with the information to manage the identified risks.
Staff were safely recruited by the service.
Appropriate medicines management and administration processes were in place.
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.
Measures to prevent and control the spread of infections were in place.
Staff had the knowledge and skills to safely and effectively meet people's needs.
People's care plans included information about what support people wanted and how they wanted the service to provide the support for them. However, we found some inconsistencies in relation to information in some people’s care plans and made a recommendation in relation to this.
There was a complaints policy and procedure in place. The registered manager and staff were open and transparent throughout the inspection and responded to requests positively.
Governance systems were in place to ensure aspects of the service and quality of care provided were continuously assessed and monitored. A range of audits were carried out to monitor the quality and safety of service provision.
Management evaluated the quality of support provided to people, involving the person, their families, and other professionals as appropriate.
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 the service was good (26 July 2018).
Why we inspected:
This was a planned comprehensive inspection to review the key questions, Safe, Effective, Caring, Responsive and Well-led and rate this service.
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have made a recommendation in relation to care plans.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next
Inspect.