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Derby

Overall: Good read more about inspection ratings

Marble Hall, 80 Nightingale Road, Derby, DE24 8BF (01482) 379514

Provided and run by:
Outreach Healthcare Ltd

Latest inspection summary

On this page

Our current view of the service

Good

Updated 3 February 2026

Date of Assessment: 11 February to 2 March 2026. This inspection was completed remotely. There was a registered manager in post at the time of inspection. The service is a care at home service providing support to adults with physical and sensory disabilities and dementia. The Care Quality Commission (CQC) regulates the personal care and support that people may receive. 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.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

People received care and support that was safe, person‑centred and responsive to their individual needs. Care plans were well written, detailed and reflected a strong understanding of each person’s history, routines, communication, and what mattered to them. Risks were clearly identified, realistic and linked to people’s day‑to‑day presentation.

People and relatives told us staff were kind, caring and supportive. People said they felt listened to and able to raise concerns, and relatives said they would contact the registered manager if they needed to because they felt confident they would be heard, although some improvement was occasionally required to communication between the office and people using the service.

Staff were knowledgeable about safeguarding and understood their responsibilities to protect people from harm. There was some evidence of learning from incidents, however there was no formal process in place to analyse and scrutinise these.

Safeguarding concerns were well recorded and strong links with community nurses, mental health professionals and local authority teams.

Medicines were managed safely, with clear arrangements where the provider was not responsible for administration.

Staff recruitment was mostly safe, with appropriate DBS checks, right‑to‑work evidence, interviews and health declarations, however further improvement was needed to ensure gaps in employment were covered.

Staff described management as approachable and available, and policies such as whistleblowing, complaints and lone working promoted a culture of openness and accountability. People and relatives reported positive relationships with staff and felt the support they received improved their wellbeing and independence.

Governance systems needed improvement. While care plans were of a good standard, there was limited evidence of structured audits to demonstrate how the provider assured ongoing quality and safety. Incident and accident recording and analysis were not well evidenced, and some care plans would benefit from clearer, decision‑specific Mental Capacity Act (MCA) documentation.

People's experience of the service

Updated 3 February 2026

People told us they felt safe, well supported and treated kindly by staff. Feedback from people and relatives was consistently positive, with many describing the service as dependable and caring. One person told us, “They are really good, the staff are kind and caring, they’ve gone above and beyond”, and another relative said, “I wasn’t looking for care, but they made the process really easy.”

People felt able to raise concerns and said managers were approachable. One person shared that they “would feel comfy raising concerns and would recommend the service” because staff helped their family member make good choices. Another relative said staff were generally helpful, adding, “Overall quite happy.”

People described strong, trusting relationships with staff. A relative told us, “They [staff] help them keep their home clean and they help them make good choices – no concerns, they do a fabulous job.” Others spoke about reliability and reassurance, with feedback such as, “The staff are kind and caring, it’s a good experience.”

Some people raised issues about communication and consistency, including staff occasionally arriving early, not being informed about staff changes, or carers being sent when they were not suitable. One person explained, “Communication can be an issue, they sent people while we were away,” and another said it could feel like “pot luck” at times. These concerns were balanced by the same person emphasising they were “overall quite happy.”

Staff also told us about the positive experiences they witnessed. One staff member described feeling proud when supporting a person through bereavement, saying, “[Person] became very emotional and I supported them until [person] calmed down.” Another staff member reflected on helping a person with communication needs, saying, “What gives me joy is seeing [person] having mastered functional English, I am proud of that achievement.”