Daycare Domiciliary Services

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.

Rating at last inspection

At the last inspection, in January 2015, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated Good.

People continued to receive care which protected them from avoidable harm and abuse. Risks to people’s safety were identified and measures were in place to help reduce these risks. Staff were available to respond to and meet people's needs safely. Checks were completed on potential new staff to make sure they were suitable to support people in their own homes.

People continued to receive care that was effective in meeting their needs. Staff received training to give them the skills and knowledge they needed to meet people's needs. Staff asked people's permission before they helped them with any care or support. People's right to make their own decisions about their own care and treatment were supported by staff. When needed, systems were in place to help people maintain good health and have enough to eat and drink.

People continued to receive support from staff who had a caring approach. People knew the staff that supported them and had good relationships with them. People felt involved in their own care and staff listened to what they wanted. Staff respected people's privacy and dignity when they supported them and promoted their independence.

People continued to receive care and support that was individual to them. Their support needs were kept under review and staff responded when there were changes in these needs. People were encouraged to raise concerns and make complaints and were happy these would be responded to.

People felt listened to when they gave feedback about the service they received. Staff were happy in their work and were clear about their roles and responsibilities. Systems were in place that continued to be effective in assessing and monitoring the quality of the service provided.

Further information is in the detailed findings below.