Background to this inspection
Updated
6 July 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 15 May and was announced. As the service operates from an office we needed to be sure that the registered manager and office staff would be available to speak with us. The inspection team consisted of one inspector. During the inspection, the inspector visited the offices, and following the visit also carried out phone calls to people and their relatives.
As part of the inspection, we reviewed the information available to us about the home, such as the notifications that they had sent us. A notification is information about important events which the provider is required to send us by law. Prior to the inspection, the provider also completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection, we spoke with three people who use the service and one relative. We also spoke with three members of staff including the registered manager, who was also the provider, and two care staff. We checked two people’s care records and two medicines administration records (MARs). We also checked records relating to how the service is run and monitored, such as audits, recruitment, training and health and safety records.
Updated
6 July 2017
Dell Care provides personal care for people in their own homes. At the time of our inspection, 10 people were using the service. This was a first comprehensive ratings inspection of this service.
There was a registered manager in post, who was also the provider. 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.
The service was safe. Staff had assessed risks to individuals and mitigated them appropriately. Staff were aware of safeguarding procedures and knew how to report any concerns they had. There were enough staff and people’s visits were always covered. Staff were recruited safely.
Staff supported people safely to take their medicines and the records were clear. Where needed, staff provided prompting for people to take their own medicines.
People received a high standard of care from trained staff. Staff felt supported at work. They sought consent before delivering care and were aware of individual’s mental capacity to make decisions. Staff supported people to access healthcare services promptly when required.
Staff supported people with their meals when they needed, and encouraged people to drink enough. These needs were also specified in people’s care plans.
People were cared for by staff who knew them well and communicated effectively with them. People were involved and consulted about their care when planning and reviewing their needs. Staff promoted their independence, and respected people’s privacy and dignity.
People received individualised care according to their own needs, and when they changed, staff responded and were flexible. People were asked for their feedback on the service they received and knew how to raise a concern and who to, if they needed to.
The staff worked closely as a small team, with a positive attitude, and good leadership was in place. There were systems in place to ensure that high quality care was delivered continuously and any potential problems would be identified in a timely manner.