All inspections: DKM Healthcare Limited

DKM Healthcare Limited is a domiciliary care agency providing personal care and support to children, older people and younger adults with physical disability, people living with dementia, autistic people, people with a learning disability, people with sensory impairment and people living with mental health issues. At the time of the inspection, the service was supporting 29 people with their personal care needs. DKM Healthcare Limited was last rated Good (published 21 February 2020). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 7 May 2024. The provider was told an assessment was going to be starting 48 hours beforehand. We assessed a total of 11 quality statements from the safe, effective, responsive and well-led key questions and found areas of good practice and concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Though the assessment of these 11 quality statements indicated areas of concern and good practice since the last inspection, our overall rating remains good. We assessed some but not all quality statements at this visit which means we use the ratings from the previous inspection to rate the key questions of safe, effective, caring, responsive and well-led.

DKM Healthcare Limited is a ‘supported living service’ providing personal care and support to children 13-18 years, people with a learning disability, autistic people, people with mental health support needs, younger adults, people with sensory impairment, people with a physical disability, older people and people living with dementia. At the time of the inspection, the service was supporting 5 people with their personal care needs. DKM Healthcare Limited was last rated Good (published 21 February 2020). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 8 May 2024. This was an announced assessment. The provider was told an assessment was going to be starting 48 hours beforehand. We assessed a total of 10 quality statements from the safe, effective, responsive, and well-led key questions and found areas of good practice and concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Though the assessment of these 10 quality statements indicated areas of concern since the last inspection, our overall rating remains good. This assessment did not cover all parts of our Single Assessment Framework, therefore we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings.

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.

This inspection took place on 08 June 2017. DKM Healthcare Limited [the service] is registered to provide personal care and support to people living in their own homes. At the time of our inspection the service offered support to nine people living in the Nottinghamshire area.

There was a registered manager and she was available during our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were very satisfied with every aspect of the service provided. People and relatives spoke highly of both the staff and the registered manager. People who used the service told us they were treated with compassion and kindness and that their privacy and dignity were respected at all times.

People who used the service and relatives we spoke with told us they felt staff supported people safely in their home and when out in the community.

Staff we spoke to had a good understanding of the various types of abuse and their roles and responsibilities in reporting any safeguarding concerns.

Staff had also received safeguarding adults training.

Staff employed at the service were recruited safely and received regular training and supervision as part of their role.

People’s rights were protected under the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their nutritional needs. External health professionals were involved in people’s care when required.

People’s care plans reflected their individual needs and personal wishes. People told us they were always involved in the development of their care plans and these were reviewed regularly.

People told us they received their medicines as prescribed and staff were able to explain the process they followed when supporting people to safely take their medicines. Medicines that were ‘as and when’ required needed additional guidance for staff to follow.

The service encouraged feedback from all people involved with the service. A complaints process was in place and complaints had been responded to appropriately. People and relatives felt able to make a complaint and felt confident that the registered manager would respond appropriately.

People and staff were complimentary about the leadership of the service. The registered manager and staff were clear about the vision and values of the service which made sure people were at the heart of the service they received.

There were systems in place to monitor and improve the quality of the service provided.

DKM Healthcare Limited

All Inspections

During an assessment under our new approach

During an assessment under our new approach

8 January 2020

During a routine inspection

8 June 2017

During a routine inspection