Archived: Derby Senior Care Limited

The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff sought people’s consent before they provided care and support. Some people did not have capacity to make certain decisions. It was not clear how some decisions had been made and whether people should make the decision for themselves.

Staff knew how to keep people safe and understood their responsibilities to protect people from the risk of abuse. Risks to people’s health and welfare had been identified and staff knew how to support people to ensure risks were minimised. Each person was supported by a small team of staff who knew people well. People had developed good relationships with staff who recognised where care needed to be reviewed to reflect changes with people’s support.

People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support. Staff felt confident that they had the necessary skills to provide safe and effective support for people. People had support to take their medicines at the right time and staff knew how to act if medicines were missed.

People were involved in the planning and reviewing of their care and making decisions about what care they wanted. People were treated with dignity and respect by staff who understood the importance of this. People received the assistance they required to have enough to eat and drink and were supported to maintain with people that were important to them.

People were involved in giving their views on how the service was run through the systems used to monitor the quality of the service. The manager assessed how well the service was running to identify if any improvements were needed.

People felt comfortable raising any issues or concerns and there were arrangements in place to deal with people's complaints.

You can see what action we told the provider to take at the back of the full version of the report

People had care records which included up to date information about how they wanted their care and support provided, and they understood the care and treatment choices available to them.

People told us they could choose who provided the support. One person said, 'The staff are really brilliant. We've been really happy with our choice and have absolutely no concerns.'

The staff received training that was appropriate for their individual needs and provided them with the information they needed to care for the people living in their home.

There were quality monitoring systems in place and people were able to share their views and opinions about the service. People's views were used to develop the service and maintain quality.

We looked at the care plans and saw that environmental risk assessments were in place. Each care plan considered how people receiving care and visiting staff, would be provided with safe surroundings during the visit.

We looked at thank you cards and emails as part of the feed back from people using the service and their representatives. We saw people were able to comment on the service. This included their opinion as to whether staff allocated to provide care to them were able to meet their needs.

We looked at the complaints information. We saw that any complaints were responded to and this information was clearly documented.