Day and Nightcare Assistance was rated Good across all five key questions at its August 2018 announced inspection, maintaining the rating from its previous 2016 inspection. Minor issues were noted around inconsistent call punctuality and administrative communication, but no regulatory breaches were identified.
Concerns (2)
minor
Missed or late visits
: “some people told us that the timing of their calls was sometimes delayed by traffic and they were not always informed about delays.”
minorCommunication with families: “Their administration is poor. I had a new one (carer) recently and she had to walk up and down for ages looking for my address. The company hadn't given her any directions.”
Strengths
· Risks to people had been identified, assessed and managed safely with clear guidance to staff using least restrictive methods.
· Medicines were administered safely with regular competency checks; MAR records were accurate and complete.
· Staff received regular supervisions, appraisals, spot checks and up-to-date training linked to the Care Certificate.
· Staff demonstrated thorough understanding of the Mental Capacity Act 2005.
· People were treated with dignity and respect and supported to maintain independence.
Day and Nightcare Assistance received a Good rating across all five key questions at its April 2016 inspection, demonstrating safe recruitment, effective care planning, and a strong person-centred culture. Minor issues around care plan completeness and a single medication administration lapse were identified but promptly addressed by management.
Concerns (2)
minorCare planning: “some information, for example people's life histories or likes and dislikes were sent via secure email to members of staff without being included in the care plans”
minorMedication management: “one of the family members had found a tablet left in a person's home which had indicated that medicine had not been appropriately administered”
Strengths
· Staff knew how to recognise and report safeguarding concerns and received regular training to keep people safe
· Thorough recruitment procedures including DBS checks ensured only suitable staff were employed
· Medicines were managed safely with no gaps found in administration charts and regular internal audits conducted
· Staff received up-to-date training including dementia awareness, stroke awareness and palliative care, and regular supervisions and appraisals
· People were involved in care planning decisions and care plans were regularly reviewed every six months