DCC Chesterfield Home Care

Updated 4 November 2022

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by two inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave a short period notice of the inspection. This was because we needed to make sure the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we held about the service. We sought feedback from professionals who work with the service. We used this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with two people and four relatives of people who used the service. We sought feedback from two professionals that work with the service. We spoke with 11 staff members, including the registered manager, domiciliary service organisers (DSO's) and care workers. We reviewed a range of records, including 12 people's care records. We looked at one staff file in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.

Updated 4 November 2022

About the service

DCC Chesterfield Home Care is a domiciliary care agency providing personal care to people in their own homes. The service supports younger and older people, including people with dementia. At the time of our inspection there were 92 people using the service. Some people using the service received short-term care packages which provided reablement support following a hospital stay or illness.

People’s experience of using this service and what we found

Systems were in place to ensure people were safe from the risk of abuse. Staff had received training in recognising and reporting abuse and the provider’s safeguarding policy was followed. Systems were in place to monitor medicines and ensure people received these safely. Staff adhered to safe infection prevention and control (IPC) practice. There were enough staff to meet the needs of the people using the service and people told us they received their care calls on time.

Assessments of people’s needs were completed which identified and assessed risks to people. This information was used to create detailed care plans and guidance for staff on supporting people. Staff received appropriate training to carry out their role. The service had established networks with health and social care professionals which gave people accesss to a wide range of support. People were supported to have maximum choice and control of their lives and staff supported them to maintain their independence; the policies and systems in the service supported this practice.

Staff were compassionate and information about people was written respectfully. Staff promoted people’s independence wherever possible.

People and their relatives were involved in setting personalised goals and making decisions about their care, which was regularly reviewed. People fed back the service supported them to maintain relationships which were important to them. There was a complaints policy in place which was shared with people. Staff understood what good end of life care looked like.

Quality assurance systems were in place to monitor the quality of the service, this meant risks were identified and prompt action was taken to mitigate them. We saw how the provider and registered manager used technology effectively to ensure effective oversight of key service information. People’s feedback was actively sought and used to drive improvement.

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 11 November 2020 and this is the first inspection.

Why we inspected

This was a planned inspection following registration.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.