Daycare Domiciliary Services is a domiciliary care service. It is registered to provide personal care to people living in their own homes. There were 21 people using the service on the day of our inspection.

Rating at last inspection

At the last inspection, in January 2015, the service was rated Good. At this inspection we found the service remained Good.

Why the service is rated Good.

People continued to receive care which protected them from avoidable harm and abuse. Risks to people’s safety were identified and measures were in place to help reduce these risks. Staff were available to respond to and meet people's needs safely. Checks were completed on potential new staff to make sure they were suitable to support people in their own homes.

People continued to receive care that was effective in meeting their needs. Staff received training to give them the skills and knowledge they needed to meet people's needs. Staff asked people's permission before they helped them with any care or support. People's right to make their own decisions about their own care and treatment were supported by staff. When needed, systems were in place to help people maintain good health and have enough to eat and drink.

People continued to receive support from staff who had a caring approach. People knew the staff that supported them and had good relationships with them. People felt involved in their own care and staff listened to what they wanted. Staff respected people's privacy and dignity when they supported them and promoted their independence.

People continued to receive care and support that was individual to them. Their support needs were kept under review and staff responded when there were changes in these needs. People were encouraged to raise concerns and make complaints and were happy these would be responded to.

People felt listened to when they gave feedback about the service they received. Staff were happy in their work and were clear about their roles and responsibilities. Systems were in place that continued to be effective in assessing and monitoring the quality of the service provided.

Further information is in the detailed findings below.

We inspected Daycare Domiciliary on 16 January 2015 which was announced.

Daycare Domiciliary are registered to provide personal care. People are supported with their personal care needs to help them to be as independent as possible and support people to be able to remain within their own homes. At the time of the inspection the service supported approximately 30 people.

There was a registered manager at the service. 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 received their medicines safely. Medicine records were completed and staff understood the procedures they needed to follow when supporting people with their medicines.

People’s risks were assessed. We saw that staff carried out support in a safe way whilst they ensured that people’s independence was promoted.

We found that there were enough suitably qualified staff available to meet people’s assessed needs. The provider had a system in place to monitor the staffing levels against the dependency needs of people who used the service. Staff received regular training which ensured they had the knowledge and skills required to meet people’s needs. Staff told us that they felt supported by the registered manager.

People were involved in their care and consented to their plans of care. Some people who used the service were unable to make certain decisions about their care. We found that mental capacity assessments had been carried out in accordance with the Mental Capacity Act 2005. We saw that decisions were made in people’s best interests when they are unable to do this for themselves.

People told us staff treated them in a caring and kind way and respected their dignity. Staff listened to people wishes and supported them to make choices about their care.

People told us that staff knew how they liked there care provided. The provider considered people’s diverse needs and made changes which ensured they received their care in a way that suited their needs. We found that staff understood people’s preferences in care.

People told us they knew how to complain and the provider had an effective system in place to investigate and respond to complaints.

The provider promoted an open culture. Staff told us that the management were approachable and that they listened to them. People were encouraged to feedback their experiences and these were acted on to improve the quality of care provided.

We found that the registered manager had a system in place to monitor the quality of the service provided.