27 June 2019
During a routine inspection
Diversity Care Solutions Limited is a small domiciliary care agency in Battle. It provides care and nursing to 17 children and adults with long term, complex health conditions, including life limiting and life threatening conditions. It also provides support with personal care to two older people living in their own homes. Each person has a package of care that includes visits throughout the week, with some covering night time support.
People’s experience of using this service and what we found
The service provided was bespoke to each person, this meant people received care and support that had been tailored to meet their individual care and/or nursing needs. People were supported safely, and risks regarding their care had been assessed.
People and their relatives were involved in the planning of care and any changes to the way care and support was delivered. Care plans were detailed and included all relevant guidance and protocols. Care was delivered in ways that supported people’s safety, health and welfare. People’s needs and choices were well documented and understood by staff. Individual communication needs were identified and recorded in care plans with specific communication guidance for staff.
People’s health was monitored, and referrals made to other agencies if any issues were noted. Specific guidance was in place regarding people’s nutritional needs and medicine procedures were in place to ensure people received their medicines as prescribed.
Care and support was delivered in line with current legislation and evidence-based guidance with regular reviews being completed. A consistent staffing group meant staff knew people well and understood their needs and preferences. People were encouraged to continue hobbies and interests that were important to them and supported to maintain relationships with friends and family.
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.
Staff told us they loved their jobs and felt supported by the registered manager and office team. There were enough staff to ensure people received the care and support they needed. Staff were safely recruited, well trained and supported by a dedicated team of office staff. There was also a 24 hour on call support. People spoke highly of the service and staff, telling us staff supported people in a way that promoted their independence whilst ensuring their dignity and privacy was maintained.
The registered manager and staff placed emphasis on person centred high quality care. There was an open culture which was inclusive and valued people and their individuality. Staff were aware of their roles and responsibilities.
There was a comprehensive system of quality checks and internal audits to monitor care, documentation, safety and quality of the service provided. Robust accidents and incident procedures included actions and lessons learned. These were taken forward to continually 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
Why we inspected
The last rating for this service was Good (published 3 November 2016)
Why we inspected
This was a planned inspection based on the previous rating.
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.