Daryel Care Greenwich

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

At this assessment we have not looked at all quality statements under this key question and we have combined the scores based on the key question ratings from the last inspection in June 2023. Despite many improvements we found many people did not feel completely consulted about their care plan and further improvements were needed to ensure all people had full independence, choice and control. Staff showed a good understanding of their responsibility to offer choices when delivering care.

This service scored 45 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

We received mixed feedback from people about how the provider was ensuring people had independence, choice and control. Many people did not recall being involved in discussions about their care and had not seen their care plan. Negative comments included, “I don’t know anything about a care plan, they just tend to ask me what I want doing each visit.” However, some people had been consulted during the assessment and subsequent reviews of their care needs.

The management team and staff told us they offered people choices about their care and promoted their independence. They understood their responsibility to ensure people could be as independent as possible and respected their rights. Comments from staff included, “We always assume people can make decisions for themselves and we offer them choices whenever we can.”

As the provider did not have a robust process for showing when people had been consulted about their care needs we could not be assured people always had full choice and control of their care. Despite this shortfall, improvements had been made to the quality of information in care records. Care plans contained detailed information about people’s individualised care and support needs including information about people’s likes and dislikes, their preferred routines and how they wished to improve their independence.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.