Daisy Chain Care Team Ltd

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.

Risks management to people's care required improvement. Known risks were not always assessed. This put people at a greater risk of harm.

Staff had variable knowledge of the Mental Capacity Act 2005 (MCA) and the impact this has on their job role. The provider confirmed they will address this.

People's support and care plans were not being updated and policies and procedures were not dated, so it was unclear whether these were up to date or had been recently reviewed.

The provider had not ensured safe recruitment practices were being followed fully.

The provider had not completed any initial assessment paperwork for new care packages. This meant the provider could not always be assured they could meet people's care needs prior to commencing care.

Care and support plans were detailed in relation to actual care and support required, however, information relating to people's preferences and life history was very limited. People were involved in writing their care plans. People were positive about the care they received.

People received their medicines as prescribed and on time. Any medication errors were quickly identified by the provider and action taken.

People felt safe with staff. All staff had received safeguarding training and knew how to protect people from harm.

The service's infection prevention control policies were being adhered to and followed throughout the

pandemic. This meant both staff and people at the service were protected from cross contamination.

There were enough suitably qualified staff at the service to support people safely. New staff received an induction, which included shadowing more experienced members of staff. Staff had completed all relevant training. Staff received regular competency assessments and for new staff, spot checks would take place by senior staff.

The service worked with a wide range of organisations who are also involved in people's care.

People spoke positively about the care and support they received from the service and told us staff were helpful, kind, caring and friendly. Staff spoke about people with kindness and compassion and were able to describe people's care needs and preferences in detail.

People were being supported to maintain relationships and follow their interests in order to avoid social isolation. Staff spoke with us in detail about interests they support people with.

The provider was dedicated to the service and understood their responsibilities as a registered manager. People, relatives and staff spoke highly of the registered manager and dedication to the role.

People and their relatives were given the opportunity to feedback on the quality of the service.