Background to this inspection
Updated
31 August 2018
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 comprehensive inspection took place on 7 August 2018 and it was announced. The provider was given 48 hours' notice, because the service provides a community care service and we needed to ensure someone was available to facilitate the inspection.
The inspection team consisted of one inspector.
Prior to the inspection, we asked the provider to complete a Provider Information return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We planned for the inspection using information from the PIR and other information we held about the service. This included statutory notifications. A statutory notification is information about important events the provider is required to send us by law. We also took into consideration information we had received from commissioners who monitor the care and support of people using the service.
During the inspection, we spoke with a person that received personal care from the service and the social worker of another person. We also spoke with two care staff and the registered manager.
We reviewed the care records of two people using the service and three staff recruitment files. We also reviewed records relating to the management and quality monitoring of the service.
Updated
31 August 2018
Derbyshire Homecare Limited provides domiciliary care to people living in their own homes. It provides personal care to a range of people including older people, people living with dementia, people with mental health needs, people with learning disabilities and younger adults. At the time of our inspection two people were being provided with personal care from the agency.
At the last inspection in April 2016, the service was rated 'Good'. At this inspection we found the service remained 'Good'.
Risk management plans were in place to protect and promote people's safety.
Where the provider took on the responsibility for the management of medicines, staff followed practice guidelines and staff had been trained to assist with people having their medicines.
Staff received safeguarding training so they knew how to recognise the signs and symptoms of abuse and how to report any concerns of abuse.
Staffing arrangements were suitable to keep people safe. Staff recruitment practices ensured staff were suitable to work with people.
Staff followed infection control procedures to reduce the risks of spreading infection or illness.
On-going refresher training was provided to ensure staff were able to provide care and support for people, though not all staff had not received training on some health conditions that people had.
Staff had received management support through supervision and appraisal of their performance.
Staff supported people to eat and drink sufficient amounts to maintain a varied and balanced diet.
People had been supported to have health appointments to make sure they received continuing healthcare to meet their needs.
People were encouraged to be involved in decisions about their care and support. Staff demonstrated understanding of the Mental Capacity Act, 2005 (MCA) and they gained people's consent before providing personal care.
Staff consistently provided people with respectful and compassionate care.
People had positive relationships with staff and received care to meet their personal preferences. People had their privacy, dignity and confidentiality maintained.
The provider had a complaints procedure in place for when complaints were received.
The provider understood their responsibility to comply with the Accessible Information Standard (AIS), which came into force in August 2016. The AIS is a framework that makes it a legal requirement for all providers to ensure people with a disability or sensory loss can access and understand information they are given.
The person and a relevant professional told us that they had confidence in the management of the service to provide managerial oversight and leadership.