The Care Quality Commission
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Daisychain Homecare Services

Overall: Good read more about inspection ratings

Unit 21, Molyneux Business Park, Whitworth Road, Darley Dale, Matlock, Derbyshire, DE4 2HJ (01629) 735100

Provided and run by:
Daisychain Homecare Services (Bakewell) Limited

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

All Inspections

During an assessment under our new approach

Date of inspection: 5 to 16 March 2026. Daisychain Homecare Services is a domiciliary care agency providing regulated activity to adults and people living with dementia in their own homes. At the time of our inspection, 134 people were using the service, 132 people were receiving the regulated activity of personal care. This inspection was carried out to follow up on the actions we required the provider to take after our previous inspection in September 2025 where we identified two breaches of regulation relating to the safety of the service and the governance of the service. The provider has since made the necessary improvements, and the service is no longer in breach of regulations.

The provider had made several improvements which included reviewing and updating people’s care plans and risk assessments. During this inspection, we found risks which affected people's daily lives were documented and detailed guidance was available for staff to follow.

The provider had strengthened their systems to manage safeguarding concerns. We found effective systems in place to ensure accidents and incidents were investigated and analysed. Initial assessments of people’s needs had been completed before they started using the service and information from external professionals had been included in people’s care plans ensuring staff had clear and current guidance to support people safely.

We found capacity assessments in place for all relevant aspects of care that people received ensuring decisions were made in line with the principles of the Mental Capacity Act. The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

The provider had various systems in place for people to share feedback about the service. People were supported to plan for important life changes, we found important decisions people had made about their care and treatment at the end of their lives was included in the records available to staff.

The provider had made improvements to ensure there was effective management oversight of the service. Regular audits were carried out to monitor all aspects of service delivery, and these were reviewed and analysed by the registered manager and the provider. Findings from the audits were used to drive service improvement and were shared with the wider staff team.

During an assessment under our new approach

Date of inspection: 18 to 23 September 2025. Daisychain Homecare Services is a domiciliary care agency providing regulated activity to adults and people living with dementia in their own homes. At the time of our inspection, 132 people were using the service, 121 people were receiving the regulated activity of personal care. This inspection was carried out following information of concern we had received about people’s care and treatment. We identified 2 breaches of regulation relating to the safety of the service and governance of the service.

We found people were at risk of avoidable harm as people’s care plans did not provide staff with sufficient guidance on how to support people with their known risks relating to moving, repositioning, skin integrity and catheter care. Accidents and incidents had not always been correctly identified as a potential safeguarding concern, whilst we found immediate action had been taken by the provider to keep people safe, we found thorough investigations had not always been carried out and appropriate referrals had not always been made to the local safeguarding team or CQC.

The provider ensured staff were recruited safely and received training appropriate for their roles. We analysed the provider’s call monitoring data and found concerns with how people’s visits were organised as staff travel time was not always scheduled. Medicines were managed safely and administered by trained staff, regular audits of medicines were carried out and where errors had occurred, appropriate action had been taken.

The provider did not always make sure people’s care and treatment were effective as information provided by external agencies was not always included in people’s care plans. Staff received training in the Mental Capacity Act 2005 and understood how to apply this into their practice. However, the provider had not thoroughly assessed people's capacity to make decisions.

The provider treated people with kindness, empathy and compassion and respected their privacy and dignity. Stakeholders spoke positively about their relationships with staff and how staff treated people. The provider did not always make sure people were at the centre of their care and treatment choices as information in people’s care plans was generic and task orientated.

The service supported people living with dementia, we found the care plans in place referenced this, however they did not provide any information on how this presented for each person or any adjustments that staff may need to make to adapt the care they provided. The provider’s governance systems did not provide a thorough oversight of the service. Systems to monitor quality and safety did not identify areas of concern. The provider had identified concerns in governance and care planning and had developed an action plan to address these areas, at the time of our inspection this plan was in its initial stages. As a result, the necessary systems, and processes to support a culture of learning and improvement had not yet been fully embedded.

In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.

11 May 2022

During an inspection looking at part of the service

About the service

Daisychain Homecare Services is a domiciliary care agency. It provides personal care to people in their own homes. The service provides support to older people, including people with dementia and younger adults. At the time of our inspection there were 139 people using the service.

People’s experience of using this service and what we found

People felt the care and support they received from the service was safe. The provider worked alongside the local authority to report and investigate concerns of abuse. Risks were assessed and staff were provided with enough guidance to support people safely. People received their medicines safely.

There were enough staff to meet the needs of the people using the service. People told us they received their care calls on time and knew the staff who were supporting them. Staff were suitably qualified to do their jobs.

People and staff were positive about the leadership and support provided by managers and office staff. There were opportunities for people and staff to provide feedback and we saw how this feedback was used to drive improvements within the service.

There were quality assurance systems in place to monitor the quality of the service. A range of checks were completed by the registered manager to ensure risks were identified and action was taken to mitigate them.

People were complimentary about the care they received and staff were dedicated to providing compassionate and person-centred care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service good (published 9 February 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated good and outstanding.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

23 November 2017

During a routine inspection

This inspection took place on 23, 24 and 27 November 2017 and was announced.

This was the first comprehensive inspection carried out at Daisychain Homecare Services.

Daisychain Homecare Services provides care and support to people who wish to remain in their own homes. Services include personal care, meal preparation, hospital discharge and medication support. At the time of our inspection there were 84 people receiving personal care.

The service had a registered manager. 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 and associated Regulations about how the service is run.

People's experiences of care were overwhelmingly positive. They told us they were supported by very kind, caring and compassionate staff that often went the extra mile to provide them with exceptional care. The staff were extremely passionate about providing people with support that was based on their individual needs, goals and aspirations. People's care was personalised so that each person's support reflected their preferences. We saw that people were at the centre of their care and found clear evidence that their care and support was planned with them and not for them. Each person was treated as an individual and as a result their care was tailored to meet their exact needs.

There was a strong culture within the service of treating people with dignity and respect. The staff and the registered manager were always available and listened to people and their relatives/friends, offered them choices and made them feel that they mattered.

People felt safe. Staff had been provided with safeguarding training to enable them to recognise signs and symptoms of abuse and how to report them. There were risk management plans in place to protect and promote people’s safety. Staffing numbers were appropriate to keep people safe. There were safe recruitment practices in place and these were being followed to ensure staff employed were suitable for their role. People’s medicines were managed safely and in line with best practice guidelines.

Systems were in place to ensure that people were protected by the prevention and control of infection. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service

People’s needs and choices were assessed and their care provided in line with best practice and met their diverse needs. There were sufficient numbers of staff, with the correct skill mix to support people with their care. Staff received an induction process when they first commenced work at the service and in addition also received on-going training to ensure they were able to provide care based on current practice when supporting people.

People received enough to eat and drink and staff gave support when required. People were supported by staff to use and access a wide variety of other services and social care professionals. The staff had a good knowledge of other services available to people and we saw these had been involved with supporting people using the service. People were supported to access health appointments when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and they gained people's consent before providing personal care.

People were listened to, their views were acknowledged and acted upon and care and support was delivered in the way that people chose and preferred. Care plans were person centred and reflected how people’s needs were to be met. Records showed that people and their relatives were involved in the care planning process and the on-going reviews of their care. They were supported to take part in activities which they wanted to do, within the service and the local community. There was a complaints procedure in place to enable people to raise complaints about the service.

People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement. Staff felt they were well trained and supported by the provider and the registered manager. Staff received one to one supervision which gave them an opportunity to share ideas, and exchange information about possible areas for improvements. The registered manager was aware of their responsibility to report events that occurred within the service to CQC and external agencies.