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

Inspection Summary


Overall summary & rating

Good

Updated 6 September 2018

Eyam Domiciliary Service Ltd is a domiciliary care agency. It provides personal care to people living in their own houses. It provides a service to older people, people living with dementia, and people living with physical disabilities. Not everyone using Eyam Domiciliary Service Ltd receives regulated activity; CQC only inspects the service being received by people receiving ‘personal care’; help with tasks relating to personal hygiene and eating. Where they do, we also take into account and wider social care provided. At the time of our inspection, 69 people were receiving personal care. Eyam Domiciliary Service Ltd provides this service to people living in the Hope, Hathersage, Bakewell, Calver and Curbar areas of North Derbyshire.

The service had a registered manager at the time of our inspection visit. 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.

Eyam Domiciliary Service Ltd was previously registered with CQC at a different address, where they were inspected and rated as Good in February 2016. This report relates to the first inspection of the service at this current address.

People were supported with their personal care in ways which kept them safe. Risks to people's safety from their health conditions and environment were identified and mitigated. Appropriate measures were put in place to minimise the risk of avoidable harm, whilst promoting independence. Staff knew how to identify if people were at risk of abuse and were confident to report concerns. People's medicines were managed safely.

People and relatives were happy with staff who provided personal care. People had enough staff to support them at the times they needed. Staff were knowledgeable about people's care needs. The provider acted to ensure that staff were suitable to work with people before they provided care. Staff were trained, supervised and supported to provide people's care.

People's personal care needs were assessed and provided in line with current legislation and nationally recognised guidelines. Staff had the skills, experience and knowledge to meet people’s individual needs. The provider supported staff to work alongside health and social care professionals to ensure people’s needs were assessed and met effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People were involved in planning and reviewing their care. Their care was tailored to meet their individual needs and wishes. People were supported in ways which promoted respect, their dignity, and independence. People, relatives, and staff felt able to raise concerns or suggestions in relation to the quality of care. The provider had a complaints procedure to ensure that any issues with quality of care were addressed.

The service was well-led. Everyone we spoke with was positive about the way the service was managed. The provider promoted an open and inclusive culture within the service, and staff had clear guidance on the standards of care expected of them. The provider had systems to monitor the quality of the service provided and ensured people received safe and effective care. This included seeking and responding to feedback from people to inform the standard of care. Checks were undertaken on all aspects of personal care provision so that action could be taken to improve the quality of the service.

Inspection areas

Safe

Good

Updated 6 September 2018

The service was Safe.

People were supported with their personal care in ways which kept them safe. Staff knew how to identify if people were at risk of abuse and were confident to report concerns. People's medicines were managed safely.

Effective

Good

Updated 6 September 2018

The service was Effective.

People were supported by staff who had the skills, knowledge and experience to meet their needs. People were supported to eat and drink enough and maintain a balanced diet. The provider ensured people's rights were upheld in relation to consent to personal care.

Caring

Good

Updated 6 September 2018

The service was Caring.

People and relatives were consistently positive about their staff, who they felt provided personal care and support with kindness. People's care plans recorded preferences about how they were supported, and staff demonstrated their knowledge of this in the ways they offered personal care. People said staff always treated them with dignity and respected their privacy.

Responsive

Good

Updated 6 September 2018

The service was Responsive.

People received care that was responsive to their individual needs. People and relatives said they knew how to raise concerns or make a complaint. People were supported to express their views about their future care towards the end of their lives, and staff knew how to support people and their relatives in the way they wanted.

Well-led

Good

Updated 6 September 2018

The service was Well-Led.

People and relatives were happy with the way their care was managed, and said they would recommend the service to others. Staff felt supported by a provider who cared about them, as well as caring about the people using the service. The provider had effective systems to monitor and review all aspects of the service.