Daisies Care Consultants improved across all key questions and is no longer in Special Measures or in breach of regulations 17, 18 and 19. Well-led remains Requires Improvement as new governance and digital monitoring systems need more time to embed.
Concerns (2)
moderateGovernance
: “The service was not always well-led. ... Further time is needed to embed this system to ensure the registered manager had a good oversight of quality.”
moderateLeadership: “the service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”
Strengths
· Staff recruited safely with mandatory checks in place
· Medicines administered safely and in line with national guidance
· Robust induction, training and competency checks for staff
· Strong person-centred culture with people treated with dignity and respect
· Detailed personalised care plans including end of life wishes where appropriate
Quality-Statement breakdown (20)
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuse; Assessing risk, safety monitoring and managementGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversity; Respecting and promoting people's privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
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: Supporting people to develop and maintain relationships to avoid social isolationGood
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, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringRequires improvement
well-led: How the provider understands and acts on the duty of candourRequires improvement
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersRequires improvement