Different Care Holdings Ltd

Updated 13 December 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 consisted of 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] [and] [specialist housing].

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.

Notice of inspection

The inspection was announced. The provider was given 48 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 and to enable them to gain consent from people so we could contact them.

What we did before the inspection

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.

During the inspection

We attended the office address on 31 October 2023 and spoke with staff, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also viewed records including 4 peoples care plans and associated documentation, 3 staff recruitment files and all other documentation relating to the running of the service.

On 1 November 2023 we spoke with 5 people by telephone. We reviewed further documentation on 2 November 2023.

Updated 13 December 2023

About the service

Different Care Holdings Liverpool Ltd is a domically care provider who provide the regulated activity of personal care to people living in their own homes in the community. Some people using the service were not in receipt of the regulated activity. At the time of our inspection 31 people were in receipt of personal care.

People’s experience of the service and what we found:

People we spoke to said they felt safe and happy being support by Different Care Holdings Liverpool Ltd. Risk assessments were in place and had been regularly reviewed. Staff were recruited and selected safely and there was enough of them to fulfil peoples contracted support hours without rushing. Medication was administered safely.

Staff were trained, supervised and appraised in line with the organisations policy and procedure. The service supported people in line with the principles of The Mental Capacity Act 2005. People’s food and drink requirements were being met.

People told us they felt the staff were kind and caring. Comments included “I cannot speak highly enough about the staff, and “they are just like angels.” Another person stated “I would rate them 100 out of 10 if I could.” People’s cultural choices and needs were not only respected but were actively encouraged and supported.

Care plans were written in a way which focused on the needs of the person and not the task, putting more emphasis on how people chose to be supported. People’s communication needs were supported.

The registered manager and the provider led by example. Staff spoken to liked working for the organisation and believed in their ethos. Quality assurance systems were robust and focused on improving the service people were receiving.

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 the service under the previous provider was Good, published on 16 June 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Different Care Holdings Liverpool Ltd on our website at www.cqc.org.uk.