Background to this inspection
Updated
10 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector carried out this inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave a short period notice of the inspection to ensure people had an opportunity to consent to a home visit or a telephone call from an inspector.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service and two relatives and friends about their experience of the care provided. We spoke with six members of staff, the provider and the registered manager.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with one social care professional.
Updated
10 March 2020
About the service
Derby Senior Care provides a care and support service to people who live in their own homes in and around Swadlincote. At the time of our inspection 20 people were receiving a service. 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
People felt they received their medicines as prescribed, although improvements were needed to ensure care plans included all information about the support people needed. Medicine records were not always completed to show the support people received. We have made a recommendation about how the provider manages medicines.
People felt safe when being supported by staff and risks had been identified to ensure staff could take action to keep people safe from harm. Staff knew how to recognise potential abuse and how to report this. People were confident that staff knew how to minimise the risk of infection and took suitable measures to ensure good working practices. There were sufficient staff working in the service who had been suitably recruited.
People made decisions about their care and were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests. Staff completed training to develop the skills they needed to support people effectively and received support from the management team to help them care for people in the right way. People’s health was monitored, and staff worked together with other professionals to ensure they remained well.
People were positive about the way staff provided their care and said they were kind and compassionate. Each person had a small team of staff who provided all their care and they had been introduced to them before any care was delivered. Staff knew people well and respected the things that were important to them. People were encouraged to be independent and their privacy and dignity was upheld in their home.
People’s care was reviewed to ensure this continued to reflect the support they wanted. People felt comfortable raising any issues or concerns and there were arrangements in place to deal with people's complaints.
The provider had systems in place to assess and monitor the quality of care. People were encouraged to share their experiences and views and they felt the provider and staff listened to them, to ensure they received the service they wanted.
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 August 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.