We carried out a review of the data available to us about DICE Healthcare Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about DICE Healthcare Limited, you can give feedback on this service.
DICE Healthcare Limited is a domiciliary care service which at the time of the inspection was providing personal care for 52 people in their own homes.
People’s experience of using this service and what we found
People told us they felt safe receiving care from the service, staff understood how to deal with allegations of abuse. The registered manager told us about the actions they took to ensure all staff were recruited safely. Staff had undertaken medicines training, records we looked at confirmed this. The registered manager confirmed the actions taken to investigate a missed medicines administration.
Infection control systems were in place. People were supported with their dietary needs. Consent to care and treatment was recorded. 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. The registered manager confirmed capacity assessments would be undertaken for all people where required.
People received good care. People told us they were treated with dignity and respect and their privacy was maintained. Care plans contained information about how to support people’s needs. Staff supported people to take part in a range of activities in their local community.
Systems were in place to investigate and act on complaints. A range of team meetings were taking place. Positive feedback was received about the leadership and management and the support provided to staff and people who used the service.
We made recommendations in relation to recruitment, medicines administration, the completion of capacity assessments the recording of audits and monitoring completed visits.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (Published 17 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for DICE Healthcare Limited on our website at www.cqc.org.uk.
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.
The service had a registered manager in place at the time of our inspection. 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.
People were supported by staff who understood the risks they could face and knew how to keep them safe. People were supported by a regular individual or group of staff who they knew. People who required support to take their medicines received assistance to do so when this was needed.
People were provided with the care and support they needed by staff who were trained and supported to do so effectively. People’s care and support was provided once consent had been obtained in line with the relevant legislation.
People were cared for by staff who understood their health conditions and ensured they had sufficient to eat and drink.
People were treated with respect by staff who demonstrated compassion and understanding. People were provided with their care and support in the way they requested or by those acting on their behalf. People were informed on how to express any issues or concerns they had so these could be investigated and acted upon.
People used a service which was flexible in accordance with their needs. The directors provided leadership that gained the respect of staff and motivated them as a team. There were systems being implemented to monitor the quality of the service and make improvements when needed.