Night and Day Care

Updated 3 November 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 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. The registered manager was also the owner of the company.

Notice of inspection

We gave the service 7 days’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. When we initially contacted the provider to arrange the inspection, they were unavailable, so a date was arranged for the following week.

Inspection activity started on 21 August 2023 and ended on 31 August 2023. We visited the location’s office/service on 30 August 2023.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We used all this information to plan our inspection.

During the inspection

We spoke with the relatives for 3 people using the service and we received feedback from 3 staff members via email. We met the registered manager who was also a director of the company. We looked at a range of records which included the care records for 5 people, 3 care worker’s files and a range of records including medicines records and policies.

Updated 3 November 2023

About the service

Night and Day Care is a domiciliary care service providing personal care and support to people living in their own homes. All the people receiving support were funding their own care. At the time of the inspection the service provided support for 6 adults and older people. 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

The provider did not always ensure risk management plans had been developed for identified risks to provide staff members with guidance on how to manage the risk. Medicines were not always managed appropriately to ensure people received their medicines safely. When incidents and accidents or safeguarding concerns occurred the provider did not identify any lessons which could be learned to reduce the risk of reoccurrence of the issue.

The provider did not ensure staff members had completed the training they had identified as mandatory. The provider did not have a robust quality assurance process to enable them to identify areas where improvement was required.

People’s care plans were not written in a person-centred manner which identified the person’s wishes as to how they wanted their care provided. The records of the care provided during each visit which staff members completed, were task focused and did not reflect the experience of the person who received support. People’s wishes in relation to how they wanted their care provided towards the end of their life were not identified.

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 provider had a safe recruitment process. Staff had access to personal protective equipment (PPE) and relatives confirmed they wore it when providing care. Relatives were happy with the care their family members received. Staff felt supported by the provider. Staff members provided support in a kind and caring way whilst ensuring people’s dignity and privacy was respected.

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 9 November 2017).

Why we inspected

We inspected this service due to the length of time since the previous inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Night and Day Care on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to person centred care, safe care and treatment, good governance and staffing at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.