Derby DCA

The inspection took place on 17 January 2019 and was unannounced.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were protected from the risk of abuse at staff were aware of safeguarding practices. Risks to people were identified and managed appropriately, and accidents and incidents were recorded so lessons could be learnt and the quality of the service improved. Staff carried out safe infection control practices and medicines were stored and administered in line with best practice guidelines.

Pre- assessment were carried out before people moved in to the service to ensure that their needs could be met. Care plans and activities were also person centred.

There were a sufficient number of staff to meet people's needs and staff had received appropriate recruitment checks. Staff were up to date with mandatory training and received regular supervision. Communication between staff was effective. Staff respected people's privacy and dignity. People were treated in a kind, caring and respectful way by staff.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to make healthy informed choices around meal times and to be as independent as possible.

People were able to express their views and supported to make decisions around their care. Those people who wished to discuss their end of life wishes had them accurately recorded

People had access to healthcare professionals and specialist teams who were part of a person's review process. Feedback was gained from people, relative and staff on a regular basis in order to act on suggestions to improve the service. People felt the manager was approachable.

People and relatives knew how to raise a complaint if needed. Robust audits carried out the registered manager and quality team identified any issues in the service and these were resolved in a timely manner. There was a close partnership working with stakeholders and other organisations. The registered manager made the Commission aware of all notifiable incidents. These are events that the Commission should legally be made aware of so that we can monitor the level of risk at a service.

The five questions we ask about services and what we found