Background to this inspection
Updated
23 April 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 3 February 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we wanted to visit the office, talk to staff and review records. The inspection team included one inspector.
Before the inspection we looked at all of the key information we held about the service. This included notifications. Notifications are changes, events or incidents that providers must tell us about. We also looked at the results of a questionnaire sent to people who used the service, their relatives and staff, asking them about their views. We received responses back from 16 people who used the service, three relatives or friends and eight members of staff. In addition, during our inspection we spoke with five people who used the service or their relatives and two health and social care professionals. We spoke with the operational manager of the service who managed the service along with the registered manager. We also spoke with the assistant manager and two members of staff.
We looked at three people’s care plans. We reviewed other records relating to the care people received and how the service was managed. This included some of the provider’s checks of the quality and safety of people’s care, staff training and recruitment records.
Updated
23 April 2016
This inspection took place on 3 February 2016 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we wanted to visit the office, talk to staff and review records. The inspection team included one inspector.
Eyam Domiciliary Service Limited provides personal care and support to people who live in their homes in and around the Hope Valley area of Derbyshire. At the time of this inspection 68 people were supported by the service.
There was a registered manager at the service at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us they felt safe with the care provided and felt confident in the staff that supported them. Any risks to people’s health or risks in their homes were identified and assessed in ways that involved people’s views. Contingency plans were also in place to manage any risks to the delivery of the service. Staff recruitment and deployment was managed safely and the manager took action during our inspection to complete checks that had previously been omitted that verified staff were in good enough health to complete their work. Procedures were followed to ensure people receiving medicines were supported to do so safely.
During our inspection the manager made improvements to the way consent for people’s care was recorded. They also updated the provider’s policy on the Mental Capacity Act 2005 to clarify the role of the service and the role of care workers in making assessments of people’s capacity when needed. People received support from staff with the skills and knowledge to meet their needs, including how to support people with their nutrition and hydration needs. People were supported to access other healthcare provision when required.
People were cared for by staff that were cheerful, kind and caring. People were supported to be independent and staff promoted their dignity and privacy. People were involved in planning their care and support and staff took time to build genuine relationships with the people they supported.
People’s views were valued by the service and led to changes and improvements. People were supported to raise any worries or concerns, and where people had done so these had been resolved. People received personalised and responsive care and their views and preferences were central to the care and support provided.
The service promoted an open and inclusive culture. Senior staff were accessible to support staff and were well known by people using the service. Arrangements to check on the quality and safety of people’s care were regularly completed by senior staff.