Background to this inspection
Updated
6 June 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 a single inspector.
Service and service type: Eyam Domiciliary Service is a care service, providing personal care and support to people in their own homes. This may included people living with dementia, a sensory impairment and a physical or learning disability including autistic spectrum disorder. Not everyone using the service receives regulated activity. CQC only inspects the service received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do, we also take into account any wider social care provided.
There was a registered manager for the service. A registered manager is 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 and care staff were available to speak with us; and people’s consent was obtained, for us to speak with them or their relative about their care experience.
What we did: Before this inspection 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 looked at and the Provider's Information Return (PIR). This is information we may ask the provider to send us, usually at least once annually to give some key information about the service, what the service does well and any improvements they plan to make.
The inspection site visit activity started on 12 April 2019 and ended on 18 April 2019. We used a range of different methods to help us understand people’s experiences. We visited the office location on 12 April 2019 and spoke with the registered manager, deputy manager, a care coordinator and four care staff. We also reviewed three people’s care records to check whether they were accurately maintained. We spoke with five people and two relatives by telephone on 16 April 2019. We visited the office again on 18 April 2019 to look at a range of records relating to management of the service. This included checks of the quality and safety of people’s care; staffing, medicines and complaints records.
Updated
6 June 2019
About the service: Eyam Domiciliary Service provides personal care to people living in their own homes. At the time of the inspection there were 63 people using the service. This included 58 older people and five younger adults. This may included people living with dementia, a sensory impairment and a physical or learning disability including autistic spectrum disorder.
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 them people 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. Relevant management checks of staff care practice and competency helped to ensure people’s safety when they received care.
People continued to received care that was effective. People’s care needs were effectively accounted for in consultation with them or their representative. Staff supported people to maintain or improve their health and nutrition when needed. People’s care was provided in the least restrictive way possible and to maximise people’s choice and control in their care. Staff were trained, informed, supported and worked closely with relevant agencies involved for people’s care. This helped to ensure people received consistent and informed care, which they had agreed to.
People continued to receive care from kind, caring staff who treated them with respect and ensured people’s dignity, equality and rights in their care. Staff knew people well; how to communicate with them and understood what was important to people them for their care. People were informed, involved and supported to understand, agree and make ongoing decisions about their care.
People continued to receive timely, personalised care that was tailored to their individual needs and wishes. Care was agreed and provided in a way that helped to optimise people’s independence, autonomy and inclusion. People were confident and knew how, to raise a concern or make a complaint if they needed to. People’s views and feedback were regularly sought. Findings from complaints and feedback were used to help inform and ensure any service improvements needed. Staff were effectively informed and supported to provide personal care for people living with a life limited illness or at the end stage of life.
The provider operated effective governance systems to ensure the quality and safety of people’s care and for sustained or timely service improvement when needed. Management and staff understood their role and responsibilities for people’s care. Operational management arrangements helped to ensure effective record keeping, safe information handling and timely communication, engagement and partnership working with relevant parities for people’s care..
More information is in the full report.
Rating at last inspection: Good. Report published April 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk