About the service Newdon Health Care Ltd is a domiciliary care agency. It provides personal care to people living in their own homes. The service currently operates in the Chesterfield and Alfreton areas of Derbyshire. Not everyone who used the service received personal care. The Care Quality Commission (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. At the time of our inspection, approximately 26 people were receiving a personal care service.
People’s experience of using this service and what we found
There were systems in place to monitor the quality and safety of the service, however these were not always effective. The audits had not identified the concerns we found during the inspection. This area required improvement.
The oversight of people's medicines was not always managed safely where medicines were included as part of a care package. Although they were administered in accordance with prescribing instructions reducing any impact for people, guidance for staff was not always available for application of creams to specific areas. Auditing by managers had not picked up these issues.
There were enough staff to effectively meet the current packages of care which supported people’s needs. People were supported safely and any risk regarding their care was assessed. Staff were aware of how to report any concerns about neglect or abuse and were confident if they raised a concern It would be addressed.
People were supported by a regular team of care staff and said they generally received their calls on time. People were confident care staff had received appropriate training to meet their needs; we saw this was in line with current guidelines. When people needed support with their nutritional intake, this was recorded and reflective of their care needs.
People’s care was provided by kind and caring staff and people told us they treated them with respect. People's individual risk assessments and care plans reflected individual needs and were reviewed regularly.
The provider worked in partnership with other agencies to make sure people received the right care and support.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff had access to sufficient supplies of Personal Protective Equipment (PPE) and received regular updates from the provider on the management of risks related to COVID-19.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 27 August 2019 and this is the first inspection.
Why we inspected
This was the first comprehensive ratings inspection of the service. The inspection was prompted in part due to concerns received about the service regarding some management arrangements. A decision was made for us to inspect and examine those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in our inspections, even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
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.