The Care Quality Commission
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Daryel Care Waltham Forest

Overall: Requires improvement read more about inspection ratings

Room 116 Regent 88, 210 Church Road, London, E10 7JQ (020) 7272 4914

Provided and run by:
Kaamil Education Ltd

All Inspections

25 July 2023

During a routine inspection

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

About the service

Daryel Care Waltham Forest is a domiciliary care agency providing personal care and support to people living in their own homes in the London Borough of Waltham Forest. 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 36 people receiving a service that is regulated by CQC.

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

Right Support: We found that people were not protected from the risk of harm as risks were not always identified and, care plans and records contained inconsistent information. The risks related to people’s environmental needs were not thoroughly assessed. People were supported to have maximum choice and control of their lives and staff supported in the least restrictive way possible and in their best interests.

Right Care: People told us they received care that met their support needs and preferences. And that they were treated with kindness and respect. People's communication needs were assessed. However, we noted care plans did not always contain enough information that matched people’s needs assessments and risks.

We looked at the provider’s call monitoring system and identified that the this was not always effective in this area. And that their initial assessment process for people's mental capacity were not in place.

Right Culture: The service was not always well managed. The provider did not always identify areas of improvement in their audits that was carried out and issues with safety concerns were not picked up.

Most people told us that they were receiving care and support on time. There were systems in place to receive feedback, however we were informed that not everyone was asked to give feedback.

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

Rating at last inspection

This service was registered with us on the 8 December 2022, and this is their first inspection.

Why we inspected

The inspection was prompted in part due to concerns we received about risk management and the overall management of the service. A decision was made for us to inspect and examine those risks.

Enforcement and Recommendations

We have identified breaches in relation to managing risks, staff training and good governance. We also made recommendations in relation to the providers call monitoring system and the provider’s mental capacity assessments.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.