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Derbyshire Care Services HQ Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 January 2021

About the service

Derbyshire Care Services HQ is a domiciliary care service providing support for up to 420 people, the majority of whom receive personal care. The service provides care to people living in their own homes in Derby and some parts of south Derbyshire.

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

Medicines management required further improvements to help ensure people received their medicines consistently. Risk assessments did not always provide enough detail.

Staff had been retrained and had their competencies to safely administer medicines re-checked. Risks in people’s homes were assessed to help ensure people received safe care. Staff understood what actions to take to help keep people safe from any risks associated with their healthcare conditions. People felt safe with the care they received. Staff understood what actions to take to help prevent abuse or avoidable harm to a person. Recruitment processes checked to ensure staff were suitable to provide care. There were enough staff to provide safe care, however some people commented on calls being late. Processes were in place to prevent and control the risks from infection, including those from covid-19. The provider took the opportunity to learn from when things went wrong.

Some improvements were needed to governance arrangements including records and audits, this was underway. The service was operated with an open and transparent management style. People’s views were sought with a view to improving care. People received care that helped them achieve good outcomes. The provider was in the process of implementing a new electronic care records system and they were expecting this to improve care records and audit effectiveness. The service worked in partnership with other agencies involved in people’s care to help ensure good care outcomes.

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. (Report published 21 February 2020).

Why we inspected

We completed this focused inspection due to a number of safeguarding concerns over the management of risks associated with people’s health conditions, including risks from medicines.

This report only covers our findings in relation to the Key Questions Safe and Well-Led.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has deteriorated to requires improvement. This is based on the findings at this inspection.

Follow up

We will return to inspect as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 22 January 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 22 January 2021

Caring

Good

Updated 22 January 2021

Responsive

Good

Updated 22 January 2021

Well-led

Requires improvement

Updated 22 January 2021

The service was not always well-led.

Details are in our well-led findings below.