Background to this inspection
Updated
10 December 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The 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.
Notice of inspection
This inspection was announced. We gave 24 hours' notice of the inspection as we needed to make sure the right people were available to answer our questions.
Inspection activity started on 10 November 2021 and ended on 17 November 2021.
What we did before inspection
We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. 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 six people who used the service and five relatives about their experience of the care provided. We spoke with six members of staff including the registered manager. We looked at four people's care records and multiple 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 training data and medicines audits were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
10 December 2021
About the service
Dignity in life Bury is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 28 people at the time of the inspection, including older people and some of whom were living with dementia.
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
Safe staff recruitment processes were in place to ensure staff were trained, experienced and safe to provide personal care. There were enough staff at the service and the management team ensured staff were supported to deliver effective care. People and relatives felt staff were kind and compassionate.
Staff treated people with respect and upheld their privacy and dignity. People described staff as kind and caring and relatives were satisfied their family members were in safe hands. One person told us, "I'm very content with my care staff, they never let me down.”
Care plans contained detailed risk assessments. Risks to people's health and wellbeing were assessed and risks mitigated. Environmental assessments were also in place, which identified and reduced any environmental risks to people and staff.
People told us they felt safe. Staff understood how to recognise signs of abuse and understood the actions needed to keep people safe.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive ways possible; the policies and systems in the service supported this practice.
Medicines were appropriately stored and disposed of safely. Staff followed current best practice guidelines regarding the prevention and control of infection including those associated with COVID-19.
Staff and relatives told us the service was well managed. The service worked in partnership with other organisations to improve outcomes for people where this was needed. The registered manager had oversight of staff performance. Spot checks were undertaken to ensure staff were following correct procedures and practices.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 September 2020 and this was their first inspection.
Why we inspected
This was a planned inspection for this service.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.