We carried out a review of the data available to us about Daley Home Care 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 Daley Home Care, you can give feedback on this service.
At our last comprehensive inspection on 9 and 10 February 2017 we found that the provider had not completed assessments or best interests decisions in line with the Mental Capacity Act 2005. We also found that the service did not always maintain accurate records about people or the risks they faced and that the provider did not have systems that effectively monitored the quality and safety of people using the service.
We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We asked the provider to take steps to improve and ensure that they were compliant. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions Effective and Well Led to at least good. At this inspection we found that improvements had been made.
The service is registered to provide personal care to people living in their own homes. At the time of our inspection the service was providing personal care to 49 people.
This service is a domiciliary care agency. It provides personal care to people living in their own homes in the community. It provides a service to older adults, younger adults, people with dementia or mental health diagnoses, physical disability or sensory impairment. Not everyone using Daley Home Care receives a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
Daley Home Care office is situated in Salwayash which is on the outskirts of Bridport. It provides support to people living in Bridport and the surrounding area.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. 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.
People were protected from the risk of harm by staff who understood the possible signs of abuse and how to recognise these and report any concerns. Staff were also aware of the risks that people faced and understood their role in managing these to ensure people received safe care.
People were supported by enough staff to provide effective, person centred support. Staff were recruited safely with appropriate pre-employment checks and received training and support to ensure that they had the necessary skills and knowledge to meet people’s needs.
People received their medicines as prescribed and staff recorded these accurately. People were supported to access healthcare professionals when required and the service worked with a number of external agencies to ensure that people received joined up, consistent care.
People were supported from the spread of infection by staff who understood their role in infection control and used appropriate Personal Protective Equipment (PPE).
People were supported to make choices about all areas of their support and staff understood the principles of mental capacity.
People were supported to have enough to eat and drink. People’s preferences for meals were well known and staff offered people choices about what they ate and drank.
People and those important to them were involved in planning the support they would receive and were asked for their views about the support and any changes to people’s needs. Reviews identified where people’s needs had changed and reflected changes to the support provided in response to this.
People were supported by staff who respected their individuality and protected their privacy. Staff understood how to advocate and support people to ensure that their views were heard and told us that they would ensure that people’s religious or other beliefs were supported and protected. Staff had undertaken training in equality and diversity and understood how to use this learning in practice.
People and relatives spoke positively about staff and we observed that interactions with people were kind and compassionate.
Staff were confident in their roles and felt supported by the office team. Feedback from people and relatives indicated that the office was approachable, helpful and took actions where necessary.
Some office staff had resigned at the time of inspection. The registered manager and provider were in the process of recruiting and gave assurances about how staff and people would be supported with the planned changes in office staff.
Quality assurance measures were used to highlight whether any changes to policy, processes or improvements in practice were required.
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. 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.
People’s risk assessments were not individual and did not support staff to understand what actions they may need to take to keep people safe.
The service did not have capacity assessments in place for people in line with legislation and did not have paperwork available to assess a person’s capacity or make a decision in a person’s best interest where this might be required.
Peoples care plans included details about what people liked and how they wanted to be supported, but some missed important information and care plans were task focussed and did not support personalised care.
Quality assurance audits were in place for some areas of the service but there were some gaps. Management systems were not robust and did not always identify any gaps or errors or use this information to improve service delivery.
People and their relatives told us they felt safe with the staff who provided their care and support. Staff were aware of their responsibilities in protecting people from harm and knew how to report any concerns about people's safety or wellbeing.
People were supported by staff who were recruited safely and were familiar to them. People and relatives felt that staff had the sufficient skills and knowledge to support them and we saw that staff had access to relevant training for their role. Staff received regular supervision and appraisals and felt supported in their role.
Where people received support from staff to eat and drink sufficiently, we saw that staff offered choices and prepared foods in the way people liked.
People told us that staff who supported them were kind and helpful and we observed that staff supported people in the way they preferred and treated people with dignity and respect.
People told us that they received a rota each week letting them know what staff were due to visit at what times. Where changes were needed to visits, or where staff were running late, people told us that the office generally made contact to let them know.
People told us that they were involved in reviews about their care and we saw that reviews were completed annually, or more frequently if people’s needs changed.
Feedback was gathered from people through surveys and used to identify actions to improve the service. People told us that they would be confident to complain if they needed to and we saw that complaints were recorded and responded to appropriately.
People, relatives and staff spoke positively about the management of the service. We were told that the office were easy to contact and friendly. Communication between staff and management was positive. There were regular staff meetings where practice and ideas were discussed.
We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the report.