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DCC North East Derbyshire Home Care

Overall: Good read more about inspection ratings

High Street, Clay Cross, Chesterfield, Derbyshire, S45 9JB (01629) 537300

Provided and run by:
Derbyshire County Council

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

Latest inspection summary

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Background to this inspection

Updated 8 March 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was completed by one inspector and an assistant inspector.

Service and service type: North East (DCC Homecare Service) is a domiciliary care service, providing personal care to people in their own homes. CQC regulates the personal care provided.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: The inspection was announced. We gave the service two working days’ notice of the inspection site visit. This was because we needed to ensure the manager was available and people’s consent was obtained, for us to speak with them or their relative about their care experience.

The inspection site visit activity started on 21 November 2018 and ended on 27 November 2018. We visited the office location on 21 November to see the manager and office staff; and to review care records and policies and procedures. We visited the office again on 22 November to speak with some of the care staff there. We spoke with people or their relative by telephone on 23 and 27 November 2018.

What we did: We looked at information we held about the service to help us plan the inspection. This included written notifications the provider had sent to us when required, to tell us about any important events that happened at the service. We also reviewed the Provider’s Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and any improvements they plan to make. However, the as the PIR was completed in January 2018, we gave the provider opportunities during the inspection, to give us any relevant updates from this.

We used a range of different methods to help us understand people’s experiences. We spoke with 17 people who used the service about their experience of care from this service provider and three relatives spoke with us on people’s behalf.

We spoke with a senior manager for the provider, who was covering the absence of the registered manager. We also spoke three senior office staff responsible for planning and coordinating people’s care and 11 care staff. We reviewed six people’s care plans and some related care records, to check they were accurately maintained. We also looked at a range of other records relating to the management of the service, which included management checks of the quality and safety of people’s care, staffing and complaints records.

Overall inspection

Good

Updated 8 March 2019

About the service: North East (DCC Homecare Service) is a domiciliary care service providing personal care to people living in their own homes. At the time of the inspection there were 198 people using the service.

People’s experience of using this service:

The service continued to meet the characteristics of good in all areas.

People continued to receive care that was safe. The provider’s arrangements for people’s care helped to protect people from the risk of harm or abuse. Staff were safely recruited and deployed to provide people’s care. Risks to people’s health, associated with their care and related safety needs, were effectively monitored and managed. Staff supported people to take their medicines safely when required.

People continued to received care that was effective. People’s care needs were effectively accounted for and regularly reviewed, as agreed with them or their representative. Staff supported people to maintain or improve their health in the least restrictive way possible and to maximise people’s choice and control in their care. Staff were trained, informed and supported to provide people’s care. They worked closely with relevant agencies to ensure people received consistent, informed care as agreed with them.

People continued to receive care from kind, caring staff; who treated them with respect and ensured their dignity, choice, independence and rights. Staff took time to know people well and to understand what was important to them for their care. People were informed and involved to understand, agree and make ongoing decisions about their care; or to access relevant advocacy to speak up on their behalf, if needed.

People continued to receive care that was timely and responsive to their individual needs and wishes. People were confident and knew how, to raise a concern or make a complaint if they needed to. People’s views, feedback and any complaints received were monitored by the provider and used to help inform any service improvements needed. Staff were trained and supported to follow nationally recognised best practice standards, concerned with people’s care at the end of life.

The provider operated effective governance systems for the quality and safety of people’s care and to ensure sustained or timely service improvement when needed. Staff understood their role and responsibilities for people’s care. Provider oversight and operational management arrangements at the service, helped to ensure effective communication and record keeping. The provider worked in partnership with people, their representatives and relevant health or social care agencies when needed, to inform and optimise people’s care experience.

More information is in the full report.

Rating at last inspection: Good. Report published 18 May 2016.

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.