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One Day At A Time Home Care Ltd Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 October 2019

About the service

One Day At a Time Home Care Limited is a domiciliary care service providing care and support to people in their own homes to promote their independence and well-being. At the time of the inspection personal care was provided to 14 people.

People’s experience of using this service and what we found

The provider and the registered manager had taken steps to improve the service and ensured people received safer care. An action plan to address the warning notice carried out by CQC had been implemented. Not all the requirements of the warning notice had been met.

The registered manager had ensured that peoples care files contained comprehensive risk assessments that were highly detailed and gave step by step guidance to staff. However, some waterlow did not detail specific actions staff would need to take.

The registered manager had applied for all staff to have the required staff recruitment checks with the Disclosure and Barring Service. People were protected from having staff work with them who were not suitable. However, 2 out of 4 staff files looked at did not show a full employment history. There were still gaps in staff’s employment history that needed to be obtained.

The registered manager had gained feedback, via questionnaire, from people and staff following on from the previous inspection where this had not previously been received.

The registered manager had introduced a staffing structure into the service that gave staff clear defined job roles and job descriptions, that improved the way people and staff were supported.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 29 June 2019) when there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Following our last inspection, we served a warning notice on the provider and the registered manager. We required them to be compliant with Regulation 12 (Safe care and treatment), Regulation 17 (Good governance) and Regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 by 9 September 2019.

Why we inspected

This was a targeted inspection based on the warning notice we served on the provider and the registered manager following our last inspection. CQC are conducting trials of targeted inspections to measure their effectiveness in services where we served a warning notice. The provider completed an action plan after the last inspection to show what they would do and by when to improve the governance of the service.

We undertook this targeted inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the governance of the service. The overall rating for the service has not changed following this targeted inspection and remains requires improvement. This is because we have not assessed all areas of the key questions.

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.

Inspection areas

Safe

Requires improvement

Updated 19 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 20 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 20 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 20 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 19 October 2019

The service was not well-led.

Details are in our well-Led findings below.