All Day Care Services Ltd

Updated 10 March 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave a period of notice for the inspection because we needed to be sure that the provider and registered manager would be in the office to support the inspection process.

Inspection activity started on 20 February 2023 and ended on 6 March 2023.

What we did before the inspection

We reviewed information we had received about the service since the service was registered and sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

This performance review and assessment was carried out without a visit to the location’s office. We used technology such as video and telephone calls to enable us to engage with relatives, staff, and electronic file sharing to enable us to review documentation. Inspection activity started on 20 February 2023 and ended on 6 March 2023.

During the inspection we spoke with 4 relatives of people who used the service and 4 staff. This included 3 care staff and the registered manager. The registered manager was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 2 care plans including medicine administration records. We looked at staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including training records and quality assurance processes.

Updated 10 March 2023

About the service

All Day Care Services Ltd is a domiciliary care service providing care to people living in their own homes. At the time of the inspection, the service provided care and support to 5 people who were receiving a regulated activity of 'personal care.' CQC only inspects where people receive the regulated activity of personal care. This is help with tasks related to personal hygiene and eating. Not everyone who used the service received personal care. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

People were supported to stay safe by regular consistent staff who knew them well. Processes were in place to support staff to share and report safeguarding concerns. Staff were mindful of risks to people from infection and wore the correct personal protective equipment. People’s needs were considered holistically, this included their health needs. Staff were proactive in monitoring and taking action to support people’s health conditions. Staff were supported to provide effective care through regular supervisions, training, and meetings. People were supported to eat and drink enough. People were supported to have maximum choice and control of their lives and staff treated them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We found further work was needed to ensure people’s capacity to consent to the care provided was needed.

Staff cared about the people they supported, whilst maintaining professional boundaries. Positive relationships had been formed between people, relatives, and staff. Staff knew people well and this helped ensure people received person-centred care. People’s dignity and independence was respected by staff who promoted this. People and their relatives felt listened to and involved in the care provided.

The care provided was flexible and responsive to people’s changing needs. Effective communication ensured staff knew when the support people required changed. Staff were mindful of the need to support people where they might be socially isolated.

People, relatives, and staff benefited from close and supportive relationships which generated a positive person-centred inclusive culture. People, relatives, and staff had opportunity to engage with the service and provide feedback. Governance systems were in place. The registered manager had good oversight of the quality of the service provided. The registered manager was committed in developing and ensuring a good quality of service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 01 November 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.