# FDS Divine Care Ltd

FDS Divine Care Ltd is a CQC-regulated home-care agency in Leicester.

## CQC Ratings

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

Rating published: 24/11/2022

## Practical info

- Postcode: LE1 1QZ
- Registered manager: Nyika, Sandra
- Local authority: Leicester
- Region: East Midlands
- City: Leicester
- Last CQC check: 24/Nov/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in decisions
  - Published: 2022-11-24
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-11-24
- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-11-24

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-11-24
- Finding
  - Working with other agencies; supporting access to healthcare
  - Published: 2022-11-24
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-11-24
- Finding
  - Assessing people's needs and choices; care planning
  - Published: 2022-11-24

### Other

- Finding
  - Evidence: Staff demonstrated good knowledge of the Mental Capacity Act and supported people's decision-making.
  - Published: 2022-11-24
- Finding
  - Evidence: People were involved in decisions about their care and care plans were regularly reviewed with them.
  - Published: 2022-11-24
- Finding
  - Evidence: Staff received an induction including shadowing an experienced staff member before working independently.
  - Published: 2022-11-24
- Finding
  - Evidence: Staff had access to PPE and infection prevention and control policy was up to date.
  - Published: 2022-11-24
- Finding
  - Evidence: The provider ensured people received care from a consistent small team of staff who knew them well.
  - Published: 2022-11-24
- Finding
  - Evidence: Staff had up-to-date safeguarding training and were confident raising concerns with their manager.
  - Published: 2022-11-24
- Finding
  - Evidence: DBS checks had been completed for all staff.
  - Published: 2022-11-24
- Finding
  - Evidence: People felt safe and spoke positively about the caring nature of care workers, with one person saying staff 'just seem genuine and they have got my interests at heart'.
  - Published: 2022-11-24
- **communication_with_families** _(minor)_
  - Evidence: One person's care plan stated they needed to see care worker's face/lips when communicating. The person told us staff wore face masks.
  - Published: 2022-11-24
- **end_of_life_care** _(minor)_
  - Evidence: Care workers and management had not received end of life training, so they were not skilled in end of life care and support if the need arose.
  - Published: 2022-11-24
- **safeguarding** _(critical)_
  - Evidence: Staff were not always recruited safely. Staff files showed gaps in employment history had not always been checked.
  - Published: 2022-11-24

### responsive

- Finding
  - End of life care and support
  - Published: 2022-11-24
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-11-24
- Finding
  - Meeting people's communication needs
  - Published: 2022-11-24
- Finding
  - Planning personalised care; choice, control and preferences
  - Published: 2022-11-24

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-11-24
- Finding
  - Using medicines safely
  - Published: 2022-11-24
- Finding
  - Assessing risk, safety monitoring and management; safeguarding
  - Published: 2022-11-24
- Finding
  - Learning lessons when things go wrong
  - Published: 2022-11-24
- Finding
  - Staffing and recruitment
  - Published: 2022-11-24

### well_led

- Finding
  - Engaging and involving people, public and staff; working in partnership
  - Published: 2022-11-24
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-11-24
- Finding
  - Managers and staff clear about roles; quality performance, risks and regulatory requirements
  - Published: 2022-11-24

## 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/1-4203576914

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