13 June 2023
During an inspection looking at part of the service
About the service
Dhek Bhal is a domiciliary care service providing personal care to people who live in their own homes. The service provides support to adults who have a range of physical, sensory or cognitive needs. At the time of the inspection, 44 people were using the service and receiving personal care.
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.
People’s experience of using this service and what we found
People were safe when receiving support from Dhek Bhal. Systems, procedures and training were in place to help staff protect people from abuse. Care records described key risks and explained how these should be managed. Staff knew the actions they should take to help keep people safe. People were supported by staff who were trained and competent in helping them with medicines.
Enough staff were employed, and safe recruitment practices were in place. People were usually supported by regular staff who knew them well. The service primarily provided support to people from a South Asian background, and staff shared the culture, language, values and beliefs of the people they supported. This meant people could use their preferred language and staff understood and met individual cultural needs and preferences.
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.
Systems and processes were in place to monitor and manage the quality of the service. Some audits and policies needed review, but this was done as soon as it was highlighted to the registered manager.
There was a very clear vision and strong values in the service. There was a focus on empowerment, human rights, dignity and informed choice. Everyone told us the service was well led and we saw managers lead by example and sharing their passion with others. Staff were motivated and proud to work for the service and felt well supported in their roles.
Feedback from people and their relatives was positive, and surveys and reviews were carried out regularly to check people remained happy with the service they received. Effective links had been established with a wide range of stakeholders. This supported the service to share information and promote culturally appropriate practices which met people’s needs.
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 18 May 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
The overall rating for the service has remained good based on the findings of this inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Dhek Bhal on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.