About the service De Vere Care Partnership is a domiciliary care agency located in the London Borough of Redbridge. It is registered to provide personal care to people in their own homes across a number of boroughs in London.
The service provides support to older people, some of whom may have dementia, people with physical disabilities and people with learning disabilities. At the time of our inspection, there were approximately 330 people using the service.
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.
People’s experience of using this service and what we found
Systems were in place to help protect people from the risk of abuse. Staff understood safeguarding from abuse procedures. Risks assessments ensured potential risks to people were identified and managed. Guidance around risks was in place for staff to follow and keep people safe.
Staff were recruited appropriately and there were enough staff in the service to meet people's needs. People and relatives told us staff were punctual when attending calls to their homes and completed their required tasks. Records confirmed this. However, the provider had identified technical issues with their call monitoring system and staff did not always log their calls. These issues were being addressed by the provider.
Staff supported people with medicines and their competency was assessed to check they did so safely. Staff had the necessary skills and training to provide care to people in their own homes.
There was a procedures for reporting incidents and accidents to review and learn lessons. We made a recommendation for the provider to review their reporting forms for incidents because they were used by the previous provider and were out of date.
Staff followed infection control procedures and people were protected from the risk of infections, such as COVID-19.
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's consent was sought when care was provided to them and they were given choices to ensure they had control of their care.
Assessments of people’s needs were completed before they started using the service. Staff supported people to access health care services and supported them to eat and drink the food they preferred. Staff told us they were supported by the registered manager and received supervision to discuss their performance.
People and relatives told us staff were respectful, caring and supported them to maintain their independence. People’s privacy, dignity, human rights and equality and diversity characteristics were respected. People and relatives were able to express their views about the care provided.
Care plans recorded people’s needs and preferences and they received person-centred care. People’s communication needs and preferences were understood by staff. There was a procedure for complaints and the management team responded to them appropriately. People receiving end of life care and support, had their wishes respected.
The provider promoted a positive culture and service that was person-centred. People, relatives and staff told us the service was well-led. Staff and managers were aware of their responsibilities. There were quality assurance systems in place for the provider to continuously improve the service and learn lessons when things went wrong.
The provider gathered feedback from people and relatives. The service worked in partnership with other organisations to benefit people using the service and support staff.
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 12 April 2019 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 24 January 2019.
Why we inspected
The inspection was prompted by a review of information we held about the service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.