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Delta Care Ltd - Cheshire East Good

Reports


Inspection carried out on 12 November 2019

During a routine inspection

About the service

Delta Care Limited Cheshire East is a domiciliary care agency providing personal care in people's own homes. At the time of the inspection the service was providing care and support to 21 people.

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

People were protected from abuse and avoidable harm. However, risk assessments did not always reflect the support being provided to keep people safe. Whilst we found people were supported to take their medicines as prescribed, records relating to medication had not always been updated to reflect changes. Further guidance needed to be included in records relating to “as required” medicines. The registered manager took immediate action to address these issues.

We have made a recommendation about notifications being submitted to The Care Quality Commission as legally required.

There were enough staff to safely meet people’s needs. The service continued to recruit new staff and safer recruitment procedures were followed. An electronic call monitoring system was in place and the registered manager had recently reviewed rosters to ensure call times were consistent. People told us they received their care as expected.

Staff were suitably trained and supported to carry out their roles. The registered manager had developed a plan to ensure staff supervisions were carried out as required by the provider. People were supported to access health services if needed. People's dietary needs were assessed and, where required, they were supported with their meals

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. However, where family representatives had signed consent forms, records needed to be clearer about the basis on which they had signed.

People were positive about the care and support they received, and the service had received several compliments. Privacy and dignity was respected and people were supported to be as independent as possible.

Care and support was individualised, and people’s choices and preferences were taken into account. There was a complaint procedure in place and the manager responded appropriately to any concerns, to help improve the quality of the care as necessary.

Staff were aware of their roles and responsibilities and felt well supported. There was a focus on continuous improvement and effective systems were in place to monitor the quality of the service. There had been a recent management restructure in response to improvements identified through the provider’s assurance processes. The provider sought people’s feedback to help develop the service.

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

Rating at last inspection

This service was registered with us on 15 November 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on the date of registration of the service.

Follow up

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