DKM Healthcare Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We assessed 3 quality statements in the well-led key question and found areas of good practice and concern. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Though the assessment of these areas indicated areas of concern since the last inspection, our rating for the key question remains good. There were clear policies and processes in place for staff to support them to speak up. Staff understood their role and responsibilities. Managers accounted for the actions, behaviours, and performance of staff. The management structure reflected the needs of the service and staff felt able to approach the management team. The provider had a plan in place to ensure people continued to receive care in the case of an emergency.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The staff had confidence in the management team and felt they were capable leaders. The registered manager spoke passionately about their role and the organisation, “DKM is a small company, we believe that the size of it means we can deliver the best support and provide people with good quality of life.” Staff gave us examples of how the leadership team treated them with compassion which included flexible working arrangements to support them with childcare.

People were clear about their roles and responsibilities and the provider had implemented a management structure which meant there was always access to management support, including out of hours. Staff were supported and encouraged including support with organisational progression.

Feedback from staff was consistent and they told us they felt able to speak up about any concerns or issues and the management team would listen to them. One staff member told us, "I do feel able to raise concerns. The manager's door is always open, and they do listen to any concerns l might have." Another staff member said, “I think a culture of openness is there in the organisation. We regularly have meetings and staff are encouraged to speak.”

The provider had a whistleblowing policy and procedure in place which staff confirmed they were familiar with. To promote open and honest communication, further to a concern received by the CQC, the provider had implemented anonymous feedback forms for staff which the inspection team reviewed.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The registered manager described workforce planning processes and how they managed staff absence to ensure continuity of care. The registered manager told us about the auditing processes in place, “We audit care plans and documents, bowel charts, fluid charts, medication. We audit at the end of the month and look at what needs improving, are staff documenting correctly, are we meeting the needs of people?”

The provider had a business continuity plan, so they were prepared for emergency situations and people would continue to receive their care, they made notifications in line with their regulatory responsibilities. Governance and assurance processes were not robust and did not always identify quality issues. The provider was in the process of identifying a suitable digital system for care records which they felt would support improvement in governance and oversight.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.