KD Healthcare Ltd

Updated 5 July 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 one inspector.

Service and service type

This service is a domiciliary care agency and community healthcare service. It provides personal and nursing care to people living in their own houses.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 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.

Inspection activity started on 13 June 2022 and ended on 28 June 2022. We visited the location’s office on 17 June 2022.

What we did before the inspection

We reviewed information we held about the service. 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 information gathered as part of monitoring activity that took place on 15 February 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We received feedback from one person and six people’s relatives. We contacted health professionals and other agencies that worked with the service and received feedback from nine of them. We spoke with six staff members including the registered manager, clinical manager and care assistants. We were sent a range of documents relating to people’s care and support, this included four people’s care plans and risk assessments as well as records relating to medicines. We also reviewed documents relating to the governance of the service, information relating to staff recruitment and training and service improvement plans.

Updated 5 July 2022

About the service

KD Healthcare Ltd is a domiciliary care agency providing personal and nursing care to people living in their own homes. The service provides support to people with complex physical disabilities and health conditions such as motor neurones disease and spinal injuries. At the time of our inspection there were nine people using the service.

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

There were safe systems in place to safeguard people from the risk of abuse. The registered manager had a robust system in place for ensuring that each event, incident, accident and feedback was used as a learning opportunity to reflect on staff practices. Risks to people were safely assessed and managed, and staff understood people's risks and how to support each person safely. People were supported by staff that had been safely recruited and knew people well. Medicines were managed safely, and staff followed correct infection, prevention and control procedures.

The registered manager undertook assessments before agreeing to support people to ensure that their individual needs and preferences could be met by the staff team. People's care plans had been developed in partnership with the person, their families and other professionals involved in the person's support. Staff received a thorough induction before supporting people and had their competency checked by the management team. Staff were trained in areas that were relevant to the people they were supporting. Staff worked in partnership with other health professionals involved in people's care and support. 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 were supported by staff that were kind and caring. Staff understood and respected each person's individual characteristics, likes, dislikes and preferences. People were supported to express their views and be involved in all decisions about their care. People were autonomous and as much as possible, chose the staff team they wanted to support them. Staff respected people's privacy and dignity.

People's care was planned with staff by the person. People's care plans were created by the person based on how they wanted to receive care and support and guided staff on how people wanted their daily routines to be. Staff understood people's unique ways of communicating and knew how to support the person to speak for themselves as much as possible. The registered manager had a clear complaints policy in place and used complaints and feedback as an opportunity to improve the service for people.

Managers and leaders created an open and honest culture for people and staff that was focused on ensuring everyone had the support they needed. The registered manager was passionate about providing support and training for staff to enable them to provide people with the best support possible. The management team consistently reviewed the service through their governance systems and identified ways to improve things for people. People, their relatives and staff were given regular opportunities to be involved in how the service was run by being provided with regular opportunities to feedback on aspects of the service.

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

Why we inspected

This service was registered with us on 22 February 2021 and this is the first inspection.

Follow up

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