DKM Healthcare Limited

Updated 21 February 2020

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 Care Act 2014.

Inspection team

The inspection team comprise of two inspectors.

Service and service type

DKM Healthcare 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 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 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We sought feedback from the local authority and professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, deputy manager, and two care workers.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with one health care professionals who worked with the service.

Updated 21 February 2020

About the service

DKM Healthcare is a Domiciliary Care Agency providing personal care to people in their homes.

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. At the time of the inspection there were eight people receiving care regulated by CQC.

People’s experience of using this service and what we found

People received safe care. People and their relatives told us they thought the care was safe and staff were aware of their responsibility to keep people safe. People told us they were very happy with the service and staff were caring and respectful.

There were risk assessments in place to assess people’s needs and environmental safety checks were in place to ensure staff and people were safe from harm.

Staffing levels were adequate and safe recruitment was followed to ensure suitable staff were employed. People told us they felt staff were well trained.

People were supported to take their medicines in a timely and safe way. People’s nutritional needs were supported. People’s healthcare needs were monitored to ensure their requirements were met.

The service was well led. People and their relatives had the opportunity to give regular feedback and make suggestions to improve the service. Staff felt well supported by the management team. Relatives told us the registered manager was open and receptive to comments.

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.

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

Rating at last inspection

The last rating for this service was Good (published 21 July 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.