Date of assessment: 31 December 2024 to 14 January 2025. ICare GB Limited - Derby Care Office agency provides the regulated activity of personal care. The service provides support to adults of all ages. At the time of our assessment there were 53 people using the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. This assessment was carried out following information of concern we had received about the safety of the service. We found people had been involved in their initial assessments and staff had identified and assessed any risks such as people’s mobility, and support with moving and handling. However, not everyone had a detailed care plan in place which were available to staff. The provider and manager were aware of this and were working to an action plan to put this right. We found not all people using the service received their visits in a timely manner as staff schedules had not always been organised in a way that met people's needs. However, people told us they were visited by regular staff who knew and understood them. People felt positive and safe with the care staff provided. The provider had not always had clear systems of good governance. There was a newly appointed manager in post who demonstrated a good understanding of the issues and priorities for the service and had made significant progress to an action plan which was in place to drive improvements. Staff felt valued and confident working at the service and had received regular training and checks of their competency.
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Following concerns about late and missed calls, CQC carried out a comprehensive inspection and found significant improvements across all five key questions, with the service rated Good overall. The provider was no longer in breach of Regulation 17 (Good Governance) and demonstrated safe medicines management, sufficient staffing, person-centred care and effective governance.
Strengths
· Medicines managed safely with staff trained and competency assessed; electronic medicines system reduces errors
· Sufficient staff to meet care packages; people generally received calls on time from a regular team
· Detailed person-centred risk assessments and care plans
· Staff trained effectively, including shadow training during induction
· Kind and caring staff who treat people with dignity and respect
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuse; Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough; access healthcare services; staff working with other agenciesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Continuous learning and improving care; Working in partnership with othersGood