Note3 Mar 2023
The service had developed positive community links including support for food banks and hospices.
Note3 Mar 2023
The registered managers understood their legal responsibilities including duty of candour and statutory notifications.
Note3 Mar 2023
Derbyshire North East area received generally positive feedback from staff and people.
Note3 Mar 2023
The provider worked collaboratively with health and social care professionals, receiving positive feedback from professionals.
Note3 Mar 2023
Infection control measures were highlighted throughout care plans and staff wore appropriate PPE.
Note3 Mar 2023
Risks associated with care delivery, environment and individual needs had been assessed and documented, including high-risk needs such as catheter care.
Note3 Mar 2023
Robust pre-employment checks including DBS checks were in place for safe recruitment.
Note3 Mar 2023
People felt safe with carers and staff knew how to protect people from risks and abuse; safeguarding processes were effective.
minorend_of_life_care3 Mar 2023
The provider had an 'end of life' policy in place which was well written, but in the records, we checked we found no evidence of the advised care planning around end of life having been put into pract…
minorincident_learning3 Mar 2023
Staff told us they were not made aware of outcomes from concerns they had raised; therefore, we cannot be confident lessons were shared amongst the staff team.
minorstaff_training3 Mar 2023
Without in-person training I felt somewhat unprepared when I first started.
moderatecommunication_with_families3 Mar 2023
We have no contact from the office, I phoned them once and they never called me back, so I don't bother now.
moderatecomplaints_handling3 Mar 2023
If I try to ring the office I can't get to speak to the manager and if I email the office I get no reply. I have complained about timings of visits – they are never on time – but nothing improves.
moderatesupervision_appraisal3 Mar 2023
Staff told us they did not have regular supervisions and there were inconsistencies in the support they received from management.
moderaterecord_keeping3 Mar 2023
Records we checked contained out of date information regarding people's medicines. Staff were not guided by the provider to record all types of medicine support.
moderatecare_planning3 Mar 2023
Care records were not always kept up to date to reflect people's current choices and requirements. I've sent concern reports in regarding changes that need to be amended on individual's care plans whi…
moderatemedication_management3 Mar 2023
People who were prescribed medicines which were time specific or required a set amount of time between doses were not always supported to take these as prescribed.
criticalgovernance3 Mar 2023
The provider failed to ensure they had effective quality monitoring measures in place, failed to act on feedback received and failed to ensure they kept complete and contemporaneous records.
criticalperson_centred_care3 Mar 2023
The provider failed to ensure care was planned and delivered in a personalised way. This was a breach of regulation 9 of the Health and Social Care Act 2008.
criticalmissed_or_late_visits3 Mar 2023
The carers are never on time, they can be late or early. I've had numerous meetings with the agency about it. They say they can't do anything about it as they are understaffed.
criticalstaffing_levels3 Mar 2023
The provider had failed to ensure they had enough suitably trained staff to deliver care as planned. This was a breach of regulation 18 of the Health and Social Care Act 2008.