# One Day At A Time Home Care Ltd

One Day At A Time Home Care Ltd is a CQC-regulated home-care agency in Reading.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 15/02/2022

## Practical info

- Postcode: RG5 3LE
- Registered manager: Nadal-Tombe, Marie
- Local authority: Wokingham
- Region: South East
- City: Reading
- Last CQC check: 15/Feb/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: External health and social care professionals were complimentary about the service's flexibility, communication, and quality of care.
  - Published: 2023-10-10
- Finding
  - Evidence: Staff praised the registered manager as approachable, hands-on, and supportive; positive team morale and open culture reported.
  - Published: 2023-10-10
- Finding
  - Evidence: Incident and accident log evidenced lessons learnt shared via team meetings and supervisions.
  - Published: 2023-10-10
- Finding
  - Evidence: All staff had up-to-date safeguarding and infection control training; PPE use was confirmed by people and relatives.
  - Published: 2023-10-10
- Finding
  - Evidence: Staff had sufficient travel time between visits and people were consistently supported by the same staff, enabling continuity of care.
  - Published: 2023-10-10
- Finding
  - Evidence: Risk assessments were clearly written and easy to follow, covering individual conditions, equipment use, and business continuity including COVID-19.
  - Published: 2023-10-10
- Finding
  - Evidence: Medicines were given safely with individualised PRN guidance and documented MAR records; missed medicine alerts investigated same day.
  - Published: 2023-10-10
- **governance** _(moderate)_
  - Evidence: time was required to show these improvements had been embedded and sustained.
  - Published: 2023-10-10
- **governance** _(moderate)_
  - Evidence: auditing of one person's care records did not identify improvements required.
  - Published: 2023-10-10
- Finding
  - Evidence: Feedback questionnaires obtained from people and staff following previous inspection.
  - Published: 2023-10-06
- Finding
  - Evidence: Spot checks on staff practice introduced and recorded with feedback given to staff.
  - Published: 2023-10-06
- Finding
  - Evidence: Management meetings introduced with agendas and notes, covering CQC report, communication, recruitment and training.
  - Published: 2023-10-06
- Finding
  - Evidence: Body maps introduced to record accidents and incidents with referrals documented.
  - Published: 2023-10-06
- Finding
  - Evidence: Environmental risk assessments introduced for people's homes with risk control measures.
  - Published: 2023-10-06
- Finding
  - Evidence: DBS checks applied for all staff, protecting people from unsuitable workers.
  - Published: 2023-10-06
- Finding
  - Evidence: Comprehensive and highly detailed risk assessments with step-by-step guidance introduced for all care files.
  - Published: 2023-10-06
- **supervision_appraisal** _(moderate)_
  - Evidence: The registered manager told us they had now delegated out supervision to staff in the management team, where staff will receive supervision on a three monthly basis.
  - Published: 2023-10-06
- **governance** _(critical)_
  - Evidence: Not enough timely action had been taken and the provider was still in breach of regulation 19 (Fit and proper persons employed)
  - Published: 2023-10-06
- **record_keeping** _(moderate)_
  - Evidence: on the 'action required' section of the document, in two care files, further written guidance for staff needed to detail what specific steps would need to be taken
  - Published: 2023-10-06
- **staffing_levels** _(critical)_
  - Evidence: 2 out of 4 staff files looked at did not show a full employment history. There were still gaps in staff's employment history that needed to be obtained.
  - Published: 2023-10-06

### safe

- Finding
  - Assessing risk, safety monitoring and management (Regulation 12)
  - Published: 2023-10-06
- Finding
  - Staffing and recruitment – fit and proper persons employed (Regulation 19)
  - Published: 2023-10-06

### well_led

- Finding
  - Managers and staff being clear about their roles, quality performance, risks and regulatory requirements (Regulation 17)
  - Published: 2023-10-06

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-5383027706

HomeCare Compass is an independent guide and is not affiliated with the CQC.