Background to this inspection
Updated
2 August 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
This service provides care and support to people living in 2 ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. We visited both the head office and 1 supported living service on the same day.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We reviewed the information we held about the service. This included notifications of accidents, incidents and safeguarding concerns.
We used all this information to plan our inspection.
During the inspection
People receiving care were unable to communicate verbally with us. Instead, we spoke with 3 relatives following the inspection to obtain their feedback about the care being provided by Danielle & Daisy. We spoke with the registered manager and 3 care staff.
We reviewed the care plans for 2 people in varying detail, looked at people’s medicine administration records, checked the staff recruitment files for 3 staff and looked at staff meeting minutes, survey responses and audits.
Updated
2 August 2023
About the service
Danielle & Daisy Care Ltd is a care agency providing personal care to people in a supported living setting. The service was currently providing care to 5 people with a learning disability or autistic people. 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 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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support:
People were enabled to make their own choices and express their wishes in a way staff understood them. People were prompted by staff to do the things they could do for themselves.
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 were safe as staff recognised potential signs of abuse and were provided with sufficient guidance in relation to people’s risks.
People’s medicines were managed safely and staff received appropriate training and had their competency checked in relation to medicines.
Staff had access to personal protective equipment when providing personal care to people and staff worked with external agencies and professionals to get people specialised care when needed.
Those people who required it were provided with sufficient food and drink and supported to eat healthily. People received appropriate care as staff were trained for their role and had the support of the registered manager. People were cared for by a sufficient number of staff who saw people as individuals and knew people well.
People were cared for by staff who were kind, attentive and showed people respect and dignity.
Right Culture:
The registered manager did not comply with their registration as they were using a different location as their office. The registered manager submitted a notification to change their address on the day of inspection.. The registered manager submitted a notification to change their address on the day of inspection.
The registered manager had established a good culture within the staff team. Staff said they felt supported and they enjoyed their job.
Relatives and staff were involved in the running of the service through surveys and meetings and the registered manager sought learning from other registered providers to help them look for ways to improve.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 10 February 2020 and this is the first inspection.
Since registration, the service had been dormant for a period of time. This meant they were not providing the regulated activity of personal care to anyone. The service came out of dormancy in November 2021 as they started to provide personal care to people.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.