Dignity Domiciliary Care

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 and associated Regulations about how the service is run.

At the last inspection in January 2017 the overall rating was requires improvement and the key questions of safe and well-led required improvement. The key questions for effective, caring and responsive were rated good.

We asked the provider to take action to make improvements regarding the recording of medicine administered to people and this action has been completed. In addition we asked the provider to make improvements to the service quality audits and this action has been completed.

The two people receiving a service were satisfied with the care and support they received.

The records were up to date and covered all aspects of the care and support people received, the support choices they had made and identified that they were being met. They contained clearly recorded, fully completed, and regularly reviewed information that enabled staff to perform their duties.

Staff were aware of their responsibilities regarding the tasks they performed, the people they supported and the way they liked to be supported. Staff had appropriate skills and provided care and support in a professional, friendly and kind way that was focussed on people as individuals. Staff knew that they must treat people equally and respect their diversity and human rights.

Staff received appropriate training, were knowledgeable and made themselves accessible to the people and their relatives. They said the organisation was a good place to work; they enjoyed their work and had access to good training and support.

People were encouraged to discuss health and other needs with staff who passed on agreed information to GP's and other community based health professionals, if required.

Staff protected people from nutrition and hydration associated risks by giving advice about healthy food options and balanced diets whilst still making sure their likes, dislikes and preferences were met.

The agency were aware of the Mental Capacity Act (MCA) and their responsibilities regarding it.

The registered manager was approachable, responsive, encouraged feedback from the person and consistently monitored and assessed the quality of the service provided.

The five questions we ask about services and what we found