Background to this inspection
Updated
8 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by an inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses.
The service did not have a manager registered with the Care Quality Commission. There was a manager at the service who was in the process of registering with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or manager would be in the office to support the inspection.
Inspection activity started on 02 December 2019 when the Expert by Experience made calls to people who used the service and ended on 03 December 2019. We visited the office location on 03 December 2019.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included notifications the provider had sent to us as required by law. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with three members of care staff and the manager.
We reviewed a range of records. This included two people’s care and medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
8 January 2020
About the service
Daycare Domiciliary provides personal care in people’s own homes. At the time of the inspection there were 9 people aged 65 and over 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.
People’s experience of using this service and what we found
We made a recommendation about the safe recording and management of some medicines.
Governance systems in place to monitor the service were not always effective in highlighting areas of care that needed improvement and records needed improving to contain people’s preferences in care.
People were supported by safely recruited staff, who had the skills and knowledge to provide effective support. There were enough staff available to provide consistent care and to meet people’s needs. People were protected from the risk of infection.
Effective care planning and risk management was in place which guided staff to provide support that met people’s physical and emotional needs. People were supported with their nutritional needs and advice was sought from healthcare professionals which was followed to ensure people’s wellbeing was maintained.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by caring and compassionate staff who promoted choices in a way that people understood. This meant people had control and choice over their lives. Staff provided dignified care and respected people’s privacy.
People and relatives were involved in the planning and review of their care. Staff knew people well which ensured they provided support in line with their wishes. The manager and staff understood how to ensure information was available to people in line with the Accessible Information Standards (AIS).
There was an open culture within the service, where complaints were acted on and improvements made. People and staff could approach the manager who acted on concerns raised to make improvements to the way care was delivered.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published on 24 June 2017).
At this inspection, the provider had continued to meet the regulations. However, we found improvements were needed in the safe and well led domains.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.