Daisy Care Services

Updated 6 September 2022

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 one inspector.

Service and service type

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

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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

Notice of inspection

We gave the service 24 hours’ 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.

Inspection activity started on 28 June 2022 and ended on 29 June 2022. We visited the location’s office on 28 June 2022. We carried out telephone calls to staff and a relative on 29 June 2022.

What we did before the inspection

We reviewed information we had received about the service. We requested feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. Healthwatch told us they had not visited the service or received any comments or concerns.

The provider had been sent a Provider Information Return (PIR). To complete in September 2021. The provider did not complete the required PIR. This is information providers are required to send us annually with key information about the service, what it does well and improvements they plan to make. The provider told us they had not received it. We used all this information to plan our inspection.

During the inspection

We spoke with one person’s relative about their experience of the care provided. We spoke with two members of staff including the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included one person's care records. We looked at two staff files in relation to recruitment, staff supervision and training. A variety of records relating to the management of the service, including policies and procedures.

Updated 6 September 2022

About the service

Daisy Care Services is a small domiciliary care service providing the regulated activity personal care to people living in their own homes in the community. At the time of our inspection there was one person 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

A relative gave us positive feedback about their loved one's care and support from the Daisy Care Services.

The systems in place to audit the quality of the service were not embedded, robust or sufficient to alert the provider of areas for improvement within the service. No audits had taken place. We made a recommendation about this.

There were no risk assessments in place in relation to people's care. Risks to people had not been identified and mitigated. This put people and staff at risk of harm. There had been no impact on staff or people as the nominated individual had carried out the initial assessment and was the staff member carrying out care and support. We made a recommendation about this.

People were supported by staff who had not always received relevant training. Staff had not completed additional training to meet people’s assessed needs, such as dementia. We made a recommendation about this.

People’s needs were assessed prior to people receiving a service. These assessments were used to develop people’s care plans. The service worked closely with other care providers to provide care and support to the person they supported. On a day to day basis people directed their care. People were supported to be as independent as possible. Staff encouraged people to self-care and lead their care and support. People’s care records were detailed, person-centred and gave staff the instructions needed to appropriately support the individual.

Staff were recruited safely. A relative told us that their loved one had consistent support.

There was a system in place in relation to accidents and incidents. The provider had effective safeguarding systems in place to protect people from the risk of abuse.

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.

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 09 September 2020 it has not previously been inspected.

Why we inspected

This is the service’s first inspection since registering with the Care Quality Commission.

Recommendations

We have made a recommendation about effective risk management. We have made a recommendation about staff training in relation to people’s assessed needs. We have made a recommendation about effective monitoring and improvement of the service.

Follow up

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