Background to this inspection
Updated
1 July 2022
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 Health and Social Care Act 2008.
Inspection team
This inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service a short period of notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we held about the service. We sought feedback from professionals who work with the service. We used all this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us 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 four people who used the service and two relatives of people who used the service. We spoke with nine staff members, including the registered manager, domiciliary service organisers (DSO’s) and care workers. We received feedback from two professionals who work with the service. We reviewed a range of records, including nine people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed.
Updated
1 July 2022
About the service
DCC Bolsover Home Care is a domiciliary care agency providing personal care to people in their own homes. The service provides support to people with dementia, older and younger people. At the time of our inspection there were 40 people using the service. Many people using the service received a short-term care package which provided reablement support following a hospital stay or illness.
People’s experience of using this service and what we found
Some care plans had not reflected full details about people’s specific needs as identified in their initial assessments. This included ensuring people’s communication needs and their required support was clearly detailed. However, people’s main risks were identified and assessed to provide guidance for staff on supporting people with these risks.
There were enough staff to meet the needs of the people using the service. The registered manager had made adjustments to ensure current recruitment challenges did not impact on the service people received. People received their care calls on time.
People were safe from the risk of abuse. People received their medicines as prescribed and staff followed safe infection prevention and control (IPC) practices.
Staff had received appropriate training to carry out their role safely. We saw the service worked collaboratively with professionals to understand people’s needs.
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.
People received support from kind and caring staff. Staff were respectful and promoted people’s independence. People and their relatives were involved in decisions about their care, which was regularly reviewed.
There were clear quality assurance systems in place to monitor the quality of the service. A range of checks were completed by the provider and registered manager to ensure risks were identified and action was taken to mitigate them.
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 11 November 2020 and this is the first inspection.
Why we inspected
This was a planned inspection following registration.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.