Delight Services Limited

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.At the time of the assessment, the service was not supporting any autistic people or people with a learning disability with any regulated activity, but the provider had regard to ‘Right support, right care, right culture.

This is the first inspection for this service.

This inspection identified that the provider was in breach of 2 legal regulations relating to staffing and good governance. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. We have asked the provider for an action plan in response to some of the concerns found at this inspection.

The provider’s governance systems, processes and procedures were not sufficiently robust to ensure risks were sufficiently assessed, planned for, mitigated, and quality and safety reviewed, monitored and improved.

Staff training and competency checks were insufficient. However, staff reported they felt well supported.

Medicines management and support procedures did not fully reflect medicines best practice guidance or align with the provider’s policy.

People were supported by staff who had been recruited safely, with appropriate pre-employment checks in place. However, staff files required review and auditing by the provider to ensure all documentation was accurate and up to date.

The provider had established systems for communicating with staff and sharing information, including quarterly staff meetings and a monthly face‑to‑face meeting. However, discussions were not consistently recorded, reducing accountability and continuity.

Although no person had come to harm as a result of these shortfalls in the fundamental care standards, they did present a potential risk of harm.

People received care from consistent staff who knew them well. From speaking with staff, we found they were generally experienced and knowledgeable about the people they supported.