Darethealthcare UK Limited

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The service had a manager who managed the service and the staff with the Registered Manager.

Staff treated people with respect and dignity and requested consent before giving care. Care provided was person centred and staff knew people very well.

People were supported with kindness and compassion and to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

Staff had been trained annually in different aspects of care; People were assessed when joining the service and this was periodically reviewed or updated when changes had occurred.

The staff and managers had a shared direction and culture of care and compassion.

Care plans were person centred and contained information including people’s life histories and risk assessments and gave staff guidance on how to support people and provide safe care.

The provider ensured there were enough staff on duty to meet the needs of people and where possible had engaged with the local authority to tailor attendance times to ensure people received care when they needed it.

Some staff were not clear on what a safeguarding incident was and so we were not assured they would identify and report matters of concern.

At the time of the inspection staff were not trained and assessed as competent in providing specialist tasks such as catheter care and there was no delegated healthcare professional supporting care staff providing clinical oversight of care.

The service was not always well led. The provider did not provide all audits of documents and provision of care that was documented in their policies and some of the audits that were provided were not detailed.

Although we found no evidence of harm the provider had not ensured that staff had received sufficient training for specialist tasks to ensure that people were cared for inline with best practice. We raised this with the provider and they provided training and has obtained the support of a healthcare provider in order to keep people safe

There was a lack of robust monitoring systems of risk and quality of care.