# Peak Care Homecare

*Operated by Peak Care Limited.*

Peak Care Homecare is a CQC-regulated home-care agency in Chesterfield.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 28/09/2022

## Practical info

- Postcode: S45 0AQ
- Local authority: Derbyshire
- Region: East Midlands
- City: Chesterfield
- Last CQC check: 28/Sep/2022 - 00:00

## Inspection findings

### effective

- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2022-09-28
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-09-28
- Finding
  - Assessing people's needs and choices
  - Published: 2022-09-28
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-09-28
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-09-28

### Other

- Finding
  - Evidence: Management team were candid and acted on issues raised during the inspection.
  - Published: 2022-09-28
- Finding
  - Evidence: The service was described as person-centred with an approachable management team open to feedback.
  - Published: 2022-09-28
- Finding
  - Evidence: People were supported to maintain nutrition and hydration and to access healthcare services.
  - Published: 2022-09-28
- Finding
  - Evidence: Care plans were comprehensive and assessed people's specific needs, using tools like the Waterlow score.
  - Published: 2022-09-28
- Finding
  - Evidence: Staff were recruited safely with DBS checks and there were enough staff to cover care calls.
  - Published: 2022-09-28
- Finding
  - Evidence: People and relatives told us they felt safe using the service and risks were assessed adequately.
  - Published: 2022-09-28
- **infection_control** _(minor)_
  - Evidence: One relative told us some staff do not wear PPE.
  - Published: 2022-09-28
- **incident_learning** _(moderate)_
  - Evidence: we also saw an incident report of a person who had a fall but there were no recorded actions to reduce further risk of falls.
  - Published: 2022-09-28
- **record_keeping** _(moderate)_
  - Evidence: records of staff signing to confirm they had read people's care plans were not complete
  - Published: 2022-09-28
- **leadership** _(moderate)_
  - Evidence: There had been no registered manager in post at the service since October 2021.
  - Published: 2022-09-28
- **governance** _(critical)_
  - Evidence: Medicines audits had not been completed since May 2022. This meant that staff errors could have been missed.
  - Published: 2022-09-28
- **governance** _(critical)_
  - Evidence: The provider failed to ensure that effective governance systems were in place. This is a breach of regulation 17(1) (Good Governance)
  - Published: 2022-09-28
- **consent_capacity** _(moderate)_
  - Evidence: Three further care plans we reviewed did not include signed consent from people or legal representatives.
  - Published: 2022-09-28
- **supervision_appraisal** _(moderate)_
  - Evidence: Most staff had not received a one to one supervision to review their practice and professional development since the new management team was put in place in January 2022.
  - Published: 2022-09-28
- **staff_training** _(moderate)_
  - Evidence: seven staff members had not completed up to date training in topical medicines
  - Published: 2022-09-28
- **staff_training** _(moderate)_
  - Evidence: Staff had not completed training in the MCA and did not always have a full understanding of the MCA.
  - Published: 2022-09-28

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2022-09-28
- Finding
  - Preventing and controlling infection
  - Published: 2022-09-28
- Finding
  - Staffing and recruitment
  - Published: 2022-09-28
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-09-28
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-09-28
- Finding
  - Using medicines safely
  - Published: 2022-09-28

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-09-28
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-09-28
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-09-28

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-121573741

HomeCare Compass is an independent guide and is not affiliated with the CQC.