We carried out a review of the data available to us about DayByDay Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about DayByDay Care Limited, you can give feedback on this service.
DayByDay Care Limited is a domiciliary care service providing personal care to people. The service provides support to people who live in their own homes. At the time of our inspection there were 25 people 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 expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: Care plans maximised people's choice, control and independence.
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.
Right Care: People received person-centred care which promoted people's dignity, privacy and human rights.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using the service were able to lead confident, inclusive and empowered lives.
Systems, processes and practices were in place to safeguard people from abuse. People felt safe. Staff were knowledgeable about safeguarding and were confident any issues or concerns they raised would be actioned. Risks to people were assessed and managed. Risk monitoring took place and required actions identified and took place. People told us care was unrushed and staff told us there was enough staff. Robust recruitment processes were in place. Medicines administration was done safely and best practice guidance was followed. Staff were trained and assessed as competent to administer medicines. Good infection prevention and control practices were in place. There was good oversight and processes in place so that lessons were learned, and improvements made.
People's needs and choices were assessed and reviewed regularly or when changes occurred. Staff were well-trained, received support and felt confident to deliver care safely. People were supported to eat and drink. Staff made sure people were left with drinks and food where needed. Staff were deployed effectively and people were supported when, and for how long, they needed. Some people said they would like to receive a rota so they knew which staff would be coming to support them. Staff were vigilant about monitoring people's health and wellbeing. People told us staff supported them to make and attend health appointments. Staff recognised the importance of following health professional advice, and this was always recorded. People had consented to their care and support. Staff ensured people were given choices and recognised the importance of supporting people to maintain their independence.
Staff were aware of the provider's vision and strategy through their induction process. People and staff described an open culture. A governance framework was in place to ensure responsibilities were clear and quality performance and risks were understood and managed. The provider had issued and acted on feedback received from people, relative and staff surveys. The provider had made improvements in how the service was managed and run. The provider had identified and planned further improvements. The service worked closely with professionals to facilitate best outcomes for people.
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 (29 April 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended the provider reviewed their policies to ensure audit systems and process checks remained effective in driving the areas requiring improvement. At this inspection we found the provider had acted on this recommendation and improvements had been made.
Why we inspected
We carried out an announced comprehensive inspection of this service on 17 March 2022. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve staffing.
We undertook this focused 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 Key Questions safe, effective and well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for DayByDay Care Limited on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
DayByDay Care Limited is a domiciliary care service, which is registered with the Care Quality Commission (CQC) to provide regulated activities of personal care to older people, people with learning disabilities or autistic spectrum disorder, people living with dementia, and people with physical disability, in their own homes. At the time of our inspection there were five people using the service.
Everyone who used the service at the time of the inspection 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 had failed to ensure staff always received appropriate induction, training, professional development, supervision and appraisal as necessary to enable and support them to carry out the duties they were employed to perform. The new manager was aware of the omissions and discussed how they planned to quickly implement the required improvements.
Management completed a range of audits and checks to maintain standards of service. However, management oversight failed to always ensure these checks remained effective to ensure actions identified as requiring improvement were always implemented in a timely way following the provider policy.
People told us they felt safe with the staff who supported them. Staff were clear on types of abuse to look out for and how to raise their concerns when required. Processes ensured any incidents were routinely investigated with outcomes and actions implemented to help keep people safe.
Risks associated with people's care were assessed to help staff provide safe care and staff also had access to information to keep them safe when entering people’s homes. Where people required support to take their medicines, this was done safely as prescribed with appropriate record keeping checked for accuracy.
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.
Staff had good access to personal protective equipment to manage the risks associated with the spread of infection including CVOID-19 and adhered to government guidance to protect people.
Although the service was not providing care to anyone with a learning disability, we expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted.
Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: Model of care and setting maximised people's choice, control and independence;
People told us they knew when to expect visits and that visits respected their preferred times. People spoke positively about the service they received and the way the service was managed. The new manager was passionate about providing people with a personalised service to help them remain living as independent as possible in their own homes. People told us that staff supported them when their care needs changed to ensure they were able to retain their independence.
Right care: Care was person-centred and promoted people's dignity, privacy and human rights;
People told us staff were respectful, caring and understanding around people's
emotional and physical needs. People were involved in planning their care and support. Care was delivered following a robust assessment of needs to ensure people’s wishes preferences and any personal characteristics were recorded and supported.
Right culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives; The culture of the service was open and empowered individuals to express their views and be in control of their lives with the support of staff. People told us they felt confident to approach the management team and that their suggestions would be listened to.
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
This service was registered with CQC on 02 November 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified a breach in relation to Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Part 3) Regulation 18: Staffing at this inspection.
We have made a recommendation for the provider to review their policies to ensure audit systems, and process checks remained effective in driving the areas requiring improvement which we found during the 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.