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South East and South Derbyshire Home Care Inadequate

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

Inspection Summary


Overall summary & rating

Inadequate

Updated 22 June 2019

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 extracare 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 service following a period of hospitalisation. At the time of this inspection 219 people were using the service.

People’s experience of using this service:

Quality monitoring systems were in place, although these were not effective to ensure people received safe and effective care.

People were not protected from harm because care plans and risk assessments had

not always been completed to ensure staff knew how to provide their care.

Care was not always reviewed in a timely way to reflect how people’s needs had changed and how they wanted to be supported.

Systems were not in place to ensure where calls to people had been missed, this was identified as calls were not always monitored.

Where people were at risk or harm or potential abuse, this had not been suitably reported to the safeguarding team to ensure the necessary action was taken.

Systems were not in place to ensure staff understood what medicines people needed support with.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible; the policies and systems in the service supported this practice. Where people were no longer able to make decisions about their care, assessments had not been completed to demonstrate how decision were being made in their best interests and in the least restrictive way.

Accidents and incidents were recorded but where lessons could be learnt from incidents, this was not shared with the staff team to reduce the risk of re-occurrence.

People did not always have information in a format that was meaningful to them. Where people needed support to communicate, this was not always recorded to ensure staff could support them.

Where people knew staff, they felt comfortable receiving personal care. However, sometimes they received care from staff they did not know.

People were supported to access health care services where needed and staff monitored people’s health needs.

People knew how to complain and felt confident that their concerns would be listened to or acted upon.

There were sufficient numbers of staff on duty to meet people’s care needs who were suitably recruited to work with people.

Staff understood infection control procedures and people were confident the staff followed good practices.

Staff felt they received training to update their skills and knowledge to deliver effective care.

People had a choice of what to eat and drink and when.

People continued to receive healthcare from health professionals to ensure they remained well. Appointments and outcomes were recorded, and information shared.

People could share information about how they would like to be supported towards the end of their life.

Where people knew staff who provided their care, they felt received respectful, dignified care and the staff were kind and caring.

People and staff could comment on service delivery to influence how the service was developed.

Rating at last inspection: Good (published November 2016)

Why we inspected: This inspection was brought forward as we had concerns about how the service was managed and the systems in place to ensure people received safe and effective care.

Enforcement: Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up: The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to canc

Inspection areas

Safe

Inadequate

Updated 22 June 2019

The service was not safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 22 June 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 22 June 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 22 June 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 22 June 2019

The service was not well-led.

Details are in our Well-Led findings below.