District Healthcare Limited

We assessed all of the quality statements within this key question. Our rating for this question is good. People and staff could confidently raise safety concerns, and these were listened to and acted on by the registered manager. Systems were in place to help safeguard people from abuse, bullying, harassment, neglect and avoidable harm.

The registered manager and staff had a strong awareness areas with the greatest safety risks.

Staff had the training and knowledge they needed to support people.

The management team ensured there was enough skilled staff to deliver safe care that promoted choice, control and individual well-being.

Safe recruitment practices and processes were in place. Staff followed nationally recognised best practice to ensure infection risks to people were minimised.

We assessed all of the quality statements within this key question. Our rating for this question is good. Most people told us they were involved in assessing their needs and were able to state their choices and preferences as to how their care and support was provided, however some people told us their visit times were not always suitable, the registered manager was aware of this and was working with the people to address these concerns.

People and their relatives had confidence in the knowledge and skills of staff.

People’s care and support was planned and delivered in line with current best practice and legislation.

The registered manager and staff team wanted to continually improve the service to provide high-quality care.

The service was working in line with the principles of the Mental Capacity Act 2005 (MCA).

We assessed all of the quality statements within this key question. Our rating for this question is good.

People told us staff were kind, caring and respected people’s right to privacy and to be treated with dignity.

People were encouraged to do as much as they could for themselves, to maintain, build and further strengthen their independence to undertake the tasks of daily living.

Staff listened to and understood people’s needs, views and wishes. Staff responded appropriately to people’s needs during times of distress.

Staff wellbeing was promoted to support them to always deliver person-centred care.

We assessed all of the quality statements within this key question. Our rating for this question is good.

People received care and support that was tailored to them and their individual needs.

People were encouraged to speak up and raise concerns if they had them. Most people felt they were involved in planning their care. Some people told us they could not remember being involved in their care planning. Some people told us they could access care in ways that meet their personal circumstances and protected equality characteristics, there were people who told us their visit times could be better. There was partnership working to make sure that care and treatment met the diverse needs of the people using the service.

We assessed all of the quality statements within this key question. Our rating for this question is good. The registered manager had effective governance and management systems in place to oversee the service and ensure it was running smoothly.

The management team completed regular checks of the quality and safety of the care and support provided to people. When these had identified areas of improvement the registered manager made positive changes.

Staff were provided fair and equal opportunity at work and were valued and respected. Staff were positive about the management team and felt confident that any concerns raised would be addressed, they also told us they felt supported by the management team and there were opportunities for them to enrol in health and social care diplomas.

The registered manager was aware of their statutory responsibilities in relation to informing CQC of certain changes, such as applying to relocate the registered office.