Daryel Care requires improvement overall, with weaknesses in staff deployment monitoring, timekeeping reliability at evenings and weekends, inconsistent PPE use, and insufficiently robust auditing that failed to identify these issues. Strengths include safe medicines management, personalised care planning, effective complaints handling, and a positive open culture with good partnership working.
Concerns (4)
moderateStaffing levels: “The afternoon visit can be either 4:00 or 4:30...weekends are definitely not so reliable...I have had twice where they didn't show up at all.”
moderateGovernance
: “The provider did not have an electronic system in place to monitor staffing levels and timekeeping at the time of the inspection.”
moderateGovernance: “Audits were not always robust as they did not identify issues we found during the inspection.”
minorInfection control: “Some people told us care staff did not always wear personal protective equipment...he doesn't wear a mask or apron.”
Strengths
· Medicines were managed safely; MARs checked monthly by the registered manager to identify and address errors.
· Care plans were person-centred and staff knew people well, supporting individual needs and preferences.
· Complaints were investigated and responded to promptly, with trends reviewed for learning and improvement.
· Accidents and incidents were recorded, investigated and analysed to prevent reoccurrences.
· Pre-employment checks including DBS and references were completed, protecting people from unsuitable staff.
Quality-Statement breakdown (14)
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionRequires improvement
safe: Learning lessons when things go wrongGood
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to avoid social isolation and maintain relationshipsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Managers and staff being clear about their roles; continuous learning and improving careRequires improvement
well-led: Promoting a positive, person-centred, open and inclusive cultureGood
well-led: Duty of candourGood
well-led: Engaging people, staff and working in partnership with othersGood