Compass Care Derbyshire Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first inspection for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The person we spoke with confirmed they had been fully involved in the assessment process before the service commenced. They told us an initial assessment was completed, which informed the development of a personalised care plan designed to meet their individual needs and preferences. They confirmed their views were listened to, including how their condition affected their daily life, and that they had read and contributed to their care plans.

Care plans were available in both digital and paper formats, enabling people and staff to access up-to-date information. The service used an electronic care planning system which recorded when staff had read and reviewed care plans, providing assurance that staff were aware of people's current needs and support requirements. Care plans were regularly reviewed to ensure they remained accurate and reflected people's changing circumstances.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s assessed needs were clearly documented within their care plans, with detailed guidance for staff on how care and treatment should be delivered in line with current best practice. Care plans included person-centred information relating to personal care needs, health conditions, and the safe use of any specialist equipment. This supported staff to provide consistent, effective, and evidence-based care that reflected people’s individual needs, preferences, and clinical requirements.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff and managers worked collaboratively to ensure changes to people's care and support needs were communicated promptly and acted upon. Care records and updates were accessible to staff, supporting effective handovers and continuity of care.

The registered manager had systems in place to ensure information was shared in a timely way. Care notes were regularly audited and quality checked to maintain oversight and consistency.

Staff consistently spoke positively about the service and their colleagues. One member of staff told us, "Compass isn't just a job role; we're not just colleagues, we're family and friends. We treat others with the same care and compassion we would want ourselves, and I wouldn't want to be anywhere else”. This reflected a positive team culture and a shared commitment to delivering high-quality, person-centred care.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to make informed choices about their health and wellbeing. Staff provided advice and information while respecting people's right to make their own decisions and involved relatives where appropriate.Care plans reflected people's lifestyle choices and included guidance to promote good health, such as encouraging fluid intake and monitoring health concerns. Staff took a proactive approach to wellbeing, supporting people to check their blood pressure and recognise when medical support may be needed.

For example, staff identified occasions when the person was feeling unwell and, by reviewing symptoms and recent health information, recognised the possibility of a urinary tract infection. They shared their concerns with the person and their relative, encouraging them to inform healthcare professionals, enabling prompt intervention. Staff also encouraged the person to monitor their blood pressure and increase fluid intake, helping to support their recovery at home and avoid unnecessary hospital admission.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Care plans were written in a person-centred way, setting realistic expectations and identifying clear goals to support positive outcomes for people.

The service monitored people's wellbeing through regular review of care plans and daily care records. The registered manager with the support of a clinical lead, had oversight of people's medical needs and used information recorded by care staff to identify changes, review support arrangements, and ensure care remained responsive and effective. This helped to promote positive outcomes and ensure people received care that met their changing needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff supported people to make their own decisions and sought consent before providing care and treatment. Care records reflected people's choices and preferences, and staff respected their right to make decisions about how their care was delivered.

The person we spoke with had capacity to make decisions about their care and told us staff respected their wishes and involved them in all decisions. Staff recognised that the person’s capacity may fluctuate when they were unwell and provided appropriate support to help them make informed choices wherever possible. Staff offered advice and suggestions but respected the person's right to decide how they wished to be supported.