Dion Care Services Limited

Updated 7 September 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 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 26 July 2023 and ended on 02 August 2023. We visited the location’s office on 26 July 2023.

What we did before the inspection

We reviewed the information we held about the service. We used this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with 2 people who used the service about their experience of the care provided. We spoke with the registered manager and received feedback from 6 care staff and 3 health professionals who have had contact with the service.

We reviewed a range of records. This included 4 people’s care records, 3 staff files in relation to recruitment and a variety of records relating to the management of the service.

Updated 7 September 2023

About the service

Dion Care Services Limited is a domiciliary care agency providing personal care to people living in their own homes. 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. At the time of our inspection there were 4 people receiving personal care support.

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

The provider had systems in place to recruit staff safely; however, recruitment checks had not always been completed robustly. The provider had processes in place to manage people’s medicines safely. However, staff had not always documented how they had supported people with their as required [PRN] medicines appropriately.

Risks to people’s safety were assessed and reviewed. The provider had systems in place to protect people from the risk of abuse and staff knew how to recognise and report any concerns about people’s safety. The provider worked in partnership with other healthcare professionals to support people’s needs when appropriate.

People’s care was personalised. The provider had assessed people’s needs prior to them receiving care and documented important information in people’s care plans. 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 the staff were kind and caring. People were supported by a small, consistent staff team who understood how they liked to be supported. There were enough staff available to meet people’s needs and preferences for support. Staff received an induction when starting in their role and were provided with appropriate training to support their knowledge.

People and staff spoke positively about the management and culture of the service. The provider had started to implement processes for monitoring the quality and safety of the service. People and their relatives were involved in the service and were asked for their feedback regularly. The provider used this feedback to develop and improve the service.

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 21 October 2021 and this is the first inspection.

Why we inspected

This was a planned inspection as the service had not been rated since its registration.

Recommendations

We have made a recommendation about the provider’s recruitment processes.

Follow up

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