We carried out a review of the data available to us about DarSarno Care Services on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about DarSarno Care Services, you can give feedback on this service.
DarSarno Care Services is a domiciliary care service providing personal care to older and younger adults, people living with dementia, sensory impairment, physical disability, learning disabilities and autistic spectrum disorder. People are supported in their own houses. At the time of our inspection there were 13 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.
People’s experience of using this service and what we found
People were safe. Systems and processes protected people from the risk of abuse. Regular risk assessment took place with measures in place to mitigate risk. Accidents and incidents were monitored and analysed for trends and patterns, learning was shared with the staff team.
Medicines were managed safely, and people received their medicines when they needed them. Staff were trained in medicine administration and regularly monitored for competence.
Staff were recruited safely and received regular training, support and supervision by the management team.
Staff worked in partnership with other healthcare professionals and ensured people had timely access to healthcare when they needed it. The provider had implemented an innovative approach to ensure a smooth transition between services.
People were supported where needed with enough food and drink. Choices and preferences around food were recorded. Specialist dietary requirements were well communicated and supported.
There was a positive culture and care was person centred with people’s choices and preferences assessed and planned in to care. End of life decisions were recorded appropriately and accessible to emergency healthcare teams.
Staff were kind, caring and respected privacy and dignity. People were encouraged to be as independent as possible. Staff were respectful of people’s and their family’s homes and personal space.
People knew how to make a complaint and complaints were managed in line with the providers policy and procedure.
Regular audits and subscriptions to professional support ensured that the provider maintained their knowledge and effective oversight of the safety and quality of the service.
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.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (5 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
What happens next
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.
The service delivers personal care to people in their own homes. Five people had started using the service, but some had stopped because they needed hospital care when their health changed. At the time of our inspection two people were receiving the service.
There was a registered manager in post. 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 told us they felt safe with the care staff that came to their home. Staff were trained in safeguarding and understood the signs of abuse and their responsibilities to keep people safe. The registered manager checked staff’s suitability to deliver personal care during the recruitment process.
Risks to people’s health and wellbeing were identified and care plans were written to minimise the identified risks. Staff understood people’s needs and abilities because they shadowed experienced staff and read their care plans. The registered manager assessed risks in each person’s home and ensured that staff were trained in medicines management, to minimise risks to people’s health and wellbeing.
Staff received the training and support they needed to meet people’s needs effectively and had regular opportunities to reflect on and improve their practice.
Records showed that people and their families were involved in planning their care. People made their own decisions about their care and support. Staff understood they could only care for and support people who consented to receive care. Staff supported people to access healthcare services when their health needs changed.
Staff had regular care calls so they got to know people well. People told us their care staff were kind and respected their privacy, dignity and independence. Care staff were thoughtful and recognised and respected people’s individuality and preferences.
People were confident any complaints would be listened to and action taken to resolve them. The provider’s quality monitoring system included asking people for their views about the quality of the service through regular visits to their homes. The registered manager checked people received the care they needed by monitoring calls, reviewing care plans, working with care staff at people’s homes and at unannounced checks to observe staff’s practice.