You are here

South East and South Derbyshire Home Care Requires improvement

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 January 2020

About the service:

Southeast and South Derbyshire Home Care is a domiciliary care agency, it provides personal care to people living in their own houses and flats and within an extra care facility. The service supports younger adults, older people, people living with dementia and people with physical disabilities living in their own homes, Some people received a short-term reablement service following a period of hospitalisation. At the time of this inspection 258 people were using the service.

Not everyone who used the service received personal care. 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.

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

Improvements had been made in the service and systems had now been developed to monitor the quality of the service provision and review how people received their support visits. These systems need to be embedded into the service to ensure these effectively maintain improvements within the service.

Support visits were now monitored to ensure people received their visits at the time they were expected and were not missed. Staff now understood their role in protecting people from harm and poor care. Where any concerns regarding potential harm or abuse were identified, this was reported to ensure this was investigated or reviewed for people’s safety.

People now had their care needs assessed and a care plan had been developed to ensure staff knew how people wanted to be supported. Care plans described the care people needed to manage their day to day support. These need to be further developed to gain people’s views regarding support towards the end of their life.

Potential risks to people’s safety were now identified, and management plans were in place to guide staff on the best way to provide care, to reduce the risks. Safe systems had now been developed to ensure people received their prescribed medicines. The staff knew when to give these and what to do if they were concerned or medicines were missed. There were recruitment procedures in place to ensure staff were suitable to work within the service.

People felt safe when they received care and made decisions about the support they wanted. People were now supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received care and support from staff who were well trained and knew how they liked things done. People received kind and compassionate care and were supported to maintain their dignity, independence and privacy. Rotas were sent out to people each week with visit times and the names of staff who would support them. The service was flexible and responsive to changes in people’s needs. People knew how to raise concerns and were given opportunities to share their views of the service. There was an on-call system for people and staff to ring in the event of an emergency out of office hours.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was Inadequate (Published 27 June 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection and each month to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since June 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

Follow

Inspection areas

Safe

Good

Updated 21 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 January 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 21 January 2020

The service was not always well-led.

Details are in our well-Led findings below.