Daryel Care Lambeth

Updated 9 April 2022

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 two inspectors.

Service and service type This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 15 March 2022 and ended on 26 March 2022. We visited the location’s office on 15 March 2022.

What we did before the inspection

We reviewed the information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with six staff members including care workers, care coordinators, electronic monitoring officer, the deputy manager and the registered manager. We reviewed a range of records including ten care plans, medicines records, electronic monitoring systems and complaints.

After the inspection

We continued to seek clarification to support our findings. We contacted 21 people who use the service and spoke with two relatives. We also spoke with the local authority to gather their views. We asked the registered manager to send us their policies and training matrix.

Updated 9 April 2022

About the service

Daryel Care Lambeth is a domiciliary care service which provides personal care to people in their own homes. The service provides support to adults with a range of support needs. At the time of our inspection there were 143 people using the service. 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

People received a service that was safe. Sufficient numbers of suitably vetted staff were deployed to meet their needs. People’s medicines were administered as intended by the prescribing G.P. People continued to be protected against the risk of abuse, as staff knew how to identify, report and escalate suspected abuse.

Staff followed best practice guidelines regarding COVID-19 and the prevention and control of infection. Incidents and accidents were regularly monitored to minimise the risk of repeat occurrences.

People continued to receive support from staff who reflected on their working practices and received on-going training to enhance their knowledge and skills. 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.

People received support from staff who treated them with kindness, respect and maintained their dignity. People’s independence was encouraged, and staff monitored people’s health and wellbeing, seeking guidance from healthcare professionals when required.

The provider encouraged an open and inclusive service, where people were at the centre of the service. People, their relatives and staff spoke positively of how the service was managed. People’s views were sought. The registered manager had oversight of the service through regular auditing systems and worked in partnership with other stakeholders to drive improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 5 December 2019).

At our last inspection we recommended that the provider review staffing hours to ensure they received adequate rest breaks. We also recommended the provider updated their auditing process to ensure issues identified were acted on swiftly. At this inspection we found the provider had acted on the recommendations and made improvements on staff rest breaks and auditing systems.

Why we inspected

This was a planned inspection based on our inspection scheduling.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.