Background to this inspection
Updated
21 February 2023
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 team included 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post, and they were also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Notice of inspection
We gave the service 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 31 January 2023 and ended on 2 February 2023. We visited the location’s office on 31 January 2023 and continued to review evidence the registered manager sent us until 9 February 2023. We spoke with a relative and care staff on 2 February 2023.
What we did before the inspection
We reviewed information we had received about the service since it registered. We sought feedback from the local authority and professionals who work with 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 all this information to plan our inspection.
During the inspection
We spoke with 1 relative. We spoke with the registered manager, the care coordinator and 2 care staff. We reviewed 1 person’s care plan. We reviewed 3 staff recruitment files, training matrix, policies, procedures and audits.
Updated
21 February 2023
About the service
Dalchi Healthcare Limited is a domiciliary care service providing the regulated activity of personal care to people living in their own homes. The service provides support to older and younger adults, who may also be living with physical and sensory disabilities, dementia and mental health or learning disability and/or autism. At the time of our inspection there was 1 person using the service.
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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
Right Care: People’s rights were respected. People received personalised and responsive care that promoted people’s dignity and respected their privacy. People received safe care. There were enough staff to ensure people’s needs were met. People benefited from access to other healthcare services when needed and this helped them live healthier lives.
Right Support: Care staff promoted people’s independence. People’s choices and preferences were reflected in care plans, so their care was tailored to their needs. Care staff received training and support before starting to work with people to help ensure they could provide the care people needed to keep them safe.
People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Culture: The service was led with by an open and approachable management team. Care staff felt supported and involved. A relative and care staff felt they could speak freely with the registered manager and that their feedback would be taken on board and used to improve services. The registered manager used a variety of methods of obtain feedback on the quality and safety of services and check people were happy with the care they received. Policies and procedures were in place to help ensure the good governance of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 4 May 2021 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.