Dandais Care Limited received a Good rating across all five key questions at its first CQC inspection in December 2022, with people and relatives consistently praising staff compassion, reliability and personalised care. Minor gaps were identified in care plan detail around pressure sore management and the recording of unannounced spot checks, both of which the registered manager committed to address.
Concerns (2)
minor
Record keeping
: “where the registered manager did unannounced spot checks on the quality of staff's care they did not keep a record of what they saw and found. This limited the provider's ability to learn”
minorCare planning: “In some people's care plans however, further detail was required around the prevention and management of people's risk of developing and manging a pressure sore area.”
Strengths
· Staff demonstrated robust safeguarding knowledge and knew how to escalate concerns appropriately.
· Robust recruitment process including DBS checks, identity verification and employment references.
· Medicines administered safely with regular audits undertaken by the registered manager.
· Staff received relevant training including dementia care, pressure sore management, moving and handling, and MCA.
· People and relatives consistently praised staff compassion, dignity, and personalised approach.
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Assessing risk, safety monitoring and managementGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Staff working with other agencies; supporting people to live healthier lives and access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; continuous learningGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empowering; duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood