Updated 25 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team comprised of an inspector and an assistant inspector.
Service and service type
Derby City Shared Lives Scheme is a shared lives scheme, that recruits, trains and supports self-employed carers who offer accommodation and support arrangements for vulnerable adults within their own family homes in the community.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 72 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We contacted Healthwatch, this an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We held a focus group and spoke with nine people who were helped by the service. We spoke with four relatives about their experience of the care provided. We spoke with three members of staff who were shared lives co-coordinators. We held a focus group and spoke with six carers. Shared lives co-coordinators are responsible for assessing and supervising the carers. Carers are self-employed and provide the care and support to people using the service.
We reviewed a range of records. This included two people’s care support plans and medication records. We looked at two carer files in relation to recruitment and supervision. A variety of records relating to the management of the service, including feedback from surveys were reviewed. We spoke to two health and social care professionals. After the inspection we spoke to the registered manager responsible for the daily running of the scheme, who was unavailable during the inspection.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.