Specialising in People’s Personal Care Needs
CQC is the independent regulator of health and adult social care in England.
Making sure health and social care services provide people with safe, effective, compassionate, high-quality care.
See our CQC Ratings below, along with a detailed statement of findings.
Desire Care Burton is a domiciliary care agency providing personal care to 82 people due to a variety of needs.
This may include younger or older adults with dementia, learning disabilities, physical disabilities or sensory impairments.
Not everyone who used the service received personal care. 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
There were limited quality monitoring systems in place and improvements were required to ensure records were up to date and to demonstrate how people’s views were captured and used to influence the development of the service.
We found numerous records had gaps in information or were not up to date, this including people’s care
records. The provider did update some of these records during the inspection, but we were not assured that they would have identified these gaps through their own quality monitoring systems.
In addition, the provider had not notified CQC of allegations of abuse that had been raised against the
service, as required by the law. The provider had worked with the local safeguarding team in addressing
these allegations at the time they arose.
Despite identification of areas where the service needed to improve, people told us they were protected from potential risks as staff had a good awareness of what these were and how to mitigate them.
People were satisfied with the arrangements for management of their medicines.
People said staff took appropraite precautions to protect them against the risk of infection.
People were supported by enough staff, who were caring and had developed good relationships with a group of staff they knew well.
Checks of staff when employed were completed they were safe to work with people who used the service, although the provider needed to ensure records of these checks were more organised and easily accessible.
People felt able to share their views with the provider and staff and people felt if they raise any concerns the provider would do what they could to put things right
Staff told us they felt well supported by their managers and they said were approachable.
Desire Care – Burton Inspection report 19 November 2020
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 (report published 12 October 2017)
Why we inspected
We received concerns in relation to the management of people’s care needs. As a result, we undertook a
focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Good to Requires improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Desire Care – Burton on our website at www.cqc.org.uk.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.
We have identified breaches in relation to good governance and notification (to CQC) of other incidents, namely any allegations of abuse whilst staff are delivering personal care.
Please see the action we have told the provider to take at the end of this report.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Please CLICK HERE to view the full CQC report findings for Desire Care – Burton – 19 November 2020