# Voyage (DCA) Somerset & Devon

*Operated by Voyage 1 Limited.*

Voyage (DCA) Somerset & Devon is a CQC-regulated home-care agency in Bridgwater.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 25/03/2022

## Practical info

- Postcode: TA6 6DF
- Local authority: Somerset
- Region: South West
- City: Bridgwater
- Last CQC check: 06/Apr/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Relatives were kept up to date about incidents when they occurred.
  - Published: 2023-04-06
- Finding
  - Evidence: Safe recruitment procedures were in place.
  - Published: 2023-04-06
- Finding
  - Evidence: The service worked well with other agencies to safeguard people from abuse.
  - Published: 2023-04-06
- Finding
  - Evidence: Relatives confirmed people felt safe, with one stating 'Absolutely I think [Name of person] is safe.'
  - Published: 2023-04-06
- Finding
  - Evidence: Staff understood how to identify and report abuse internally and externally, including to the local authority.
  - Published: 2023-04-06
- Finding
  - Evidence: Effective safeguarding systems and processes were in place and being followed.
  - Published: 2023-04-06
- **care_planning** _(minor)_
  - Evidence: One of the guidelines we reviewed had not been updated to reflect the current support for the person, the manager updated this during the inspection.
  - Published: 2023-04-06
- **governance** _(moderate)_
  - Evidence: At the time of our inspection there was not a registered manager in post. There was a manager in post who had applied to become the registered manager.
  - Published: 2023-04-06
- Finding
  - Evidence: Positive risk-taking encouraged and people involved in managing risks to themselves
  - Published: 2022-04-05
- Finding
  - Evidence: Service worked in partnership with other health and social care organisations
  - Published: 2022-04-05
- Finding
  - Evidence: Person-centred one-page profiles available to support new and temporary staff
  - Published: 2022-04-05
- Finding
  - Evidence: Effective infection prevention and control measures with PPE used in line with guidance
  - Published: 2022-04-05
- Finding
  - Evidence: New manager visible, approachable and had a clear action plan within a month of post
  - Published: 2022-04-05
- Finding
  - Evidence: Staff knew people well, promoted privacy, dignity and culturally appropriate care
  - Published: 2022-04-05
- Finding
  - Evidence: Staff understood and implemented STOMP principles to avoid over-medication
  - Published: 2022-04-05
- **infection_control** _(minor)_
  - Evidence: Relatives had some mixed views about staff use of personal protective equipment (PPE) such as wearing of masks.
  - Published: 2022-04-05
- **communication_with_families** _(minor)_
  - Evidence: Some relatives had not spoken with management in the past
  - Published: 2022-04-05
- **safeguarding** _(moderate)_
  - Evidence: Some staff members felt they had raised concerns which had not always been acted upon in the past.
  - Published: 2022-04-05

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-04-05
- Finding
  - Preventing and controlling infection
  - Published: 2022-04-05
- Finding
  - Using medicines safely
  - Published: 2022-04-05
- Finding
  - Staffing and recruitment
  - Published: 2022-04-05
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-04-05
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-04-05

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-04-05
- Finding
  - Continuous learning and improving care
  - Published: 2022-04-05
- Finding
  - Engaging and involving people, public and staff
  - Published: 2022-04-05
- Finding
  - Managers and staff being clear about roles, quality, risks and regulatory requirements
  - Published: 2022-04-05
- Finding
  - Duty of candour and openness when things go wrong
  - Published: 2022-04-05
- Finding
  - Promoting a positive, person-centred, open, inclusive and empowering culture
  - Published: 2022-04-05

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-1563445630

HomeCare Compass is an independent guide and is not affiliated with the CQC.