Archived: Dawn To Dusk Community care

Updated 5 April 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Before the inspection we looked at all the information we held about the service.

This inspection took place on 18 and 19 February 2016 and was announced. The provider was given 48 hours’ notice because the service is a domiciliary care service and we needed to be sure that the provider would be in. The inspection was carried out by one inspector.

During the inspection we looked at seven people’s care records, five staff records, quality assurance records, accidents and incidents and policies and procedure. We received feedback about the service from the local authority commissioning team. We visited six people’s homes and spoke with six people who used the service and two relatives about their experience of using the service. We also spoke with the provider, care quality manager and three members of staff.

Updated 5 April 2016

This announced inspection took place on 18 & 19 February 2016. Dawn To Dusk Community Care is a domiciliary care service providing support to people living in their homes. At the time of our inspection 51 people were using the service.

The registered provider managed the service. 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.

At our last inspection in May 2013 the service was meeting the regulations inspected. At this inspection we found the provider had not notified the Care Quality Commission (CQC) of two notifiable incidents which the service is required to send us by law. You can see what action we told the provider to take at the back of the full version of the report.

People who used the service told us they felt safe with the staff. The service had clear procedures to recognise and respond to abuse. All staff completed safeguarding training. The care quality manager completed risk assessments for every person who used the service. However, some improvement was required in the recording of plans to minimise risk and provide sufficient guidance to staff. The service had a system to manage accidents and incidents to reduce reoccurrence.

The service had enough staff to support people and carried out satisfactory background checks of staff before they started working. Staff supported people so they took their medicine safely.

The service provided an induction and training and supported staff through quarterly supervision and yearly appraisal to help them undertake their role.

People’s consent was sought before care was provided. The care quality manager considered every person currently using the service to have the capacity to make decisions for themselves.

Staff supported people to eat and drink sufficient amounts to meet their needs. People’s relatives coordinated health care appointments and health care needs, and staff were available to support people to access health care appointments if needed.

People told us they were consulted about their care and support needs. Staff supported people in a way which was caring, respectful, and protected their privacy, dignity, and human rights.

Staff prepared care plans for every person that was tailored to meet their individual needs and they were up to date.

The service had a clear policy and procedure about managing complaints. People knew how to complain and would do so if necessary.

The service sought the views of people who used the services and their relatives to improve the service. Staff felt supported by the care quality manager. The service had an effective system to assess and monitor the quality of the care people received. The service used theses checks to learn how to improve and what action to take.