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DICE Healthcare Limited

Overall: Good read more about inspection ratings

20 Woodhouse Road, Mansfield, NG18 2AF (01623) 880133

Provided and run by:
DICE Healthcare Limited

All Inspections

During an assessment under our new approach

Date of Assessment: 26 August to 3 September 2025. DICE Healthcare Limited is a care at home service providing support to older people/younger adults, people living with dementia, people with a sensory impairment, people with a learning disability, autistic people and people with physical disabilities. The provider and staff had created an exceptional shared vision and culture based on active listening, learning and building trust. Leaders were always visible, very knowledgeable and extremely supportive, consistently helping staff develop in their roles to enable a continually improving service and maintain high-quality care.

People were consistently protected and kept safe by staff who had an excellent understanding of risks. Risks were assessed and mitigated. There was a strong learning culture in which managers investigated incidents thoroughly. Staff managed medicines well and monitored people’s health to support healthy living. Staff worked with all agencies involved in people’s care for the best outcomes. People knew how to give feedback or make complaints and were confident the service took it seriously and acted on it.

The provider ensured there were always enough staff with the right skills, knowledge and experience to support people in a way that kept them safe. Staff received regular training, their competency was checked and had regular supervision with the managers to maintain high quality care. The service supported staff wellbeing exceptionally well. Staff felt supported and able to give feedback, were treated equally, free from bullying or harassment and had confidence in the management team.

People with protected characteristics felt supported. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

10 September 2019

During a routine inspection

About the service

DICE Healthcare Limited is a domiciliary care service which at the time of the inspection was providing personal care for 52 people in their own homes.

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

People told us they felt safe receiving care from the service, staff understood how to deal with allegations of abuse. The registered manager told us about the actions they took to ensure all staff were recruited safely. Staff had undertaken medicines training, records we looked at confirmed this. The registered manager confirmed the actions taken to investigate a missed medicines administration.

Infection control systems were in place. People were supported with their dietary needs. Consent to care and treatment was recorded. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The registered manager confirmed capacity assessments would be undertaken for all people where required.

People received good care. People told us they were treated with dignity and respect and their privacy was maintained. Care plans contained information about how to support people’s needs. Staff supported people to take part in a range of activities in their local community.

Systems were in place to investigate and act on complaints. A range of team meetings were taking place. Positive feedback was received about the leadership and management and the support provided to staff and people who used the service.

We made recommendations in relation to recruitment, medicines administration, the completion of capacity assessments the recording of audits and monitoring completed visits.

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 was good (Published 17 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for DICE Healthcare Limited on our website at www.cqc.org.uk.

Follow up

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

25 January 2017

During a routine inspection

This announced inspection was carried out on 25 January 2017. Dice Healthcare Limited provides support and personal care to people living in their own homes in and around Mansfield in Nottinghamshire. On the day of the inspection visit there were eight people using the service who received personal care.

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.

People were supported by staff who understood the risks they could face and knew how to keep them safe. People were supported by a regular individual or group of staff who they knew. People who required support to take their medicines received assistance to do so when this was needed.

People were provided with the care and support they needed by staff who were trained and supported to do so effectively. People’s care and support was provided once consent had been obtained in line with the relevant legislation.

People were cared for by staff who understood their health conditions and ensured they had sufficient to eat and drink.

People were treated with respect by staff who demonstrated compassion and understanding. People were provided with their care and support in the way they requested or by those acting on their behalf. People were informed on how to express any issues or concerns they had so these could be investigated and acted upon.

People used a service which was flexible in accordance with their needs. The directors provided leadership that gained the respect of staff and motivated them as a team. There were systems being implemented to monitor the quality of the service and make improvements when needed.