Background to this inspection
Updated
16 March 2023
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care and supported living agency. It provides care provides personal care to people living in their own houses and flats. At the time of the inspection there were 3 people using the service.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection a registered manager was in place.
Notice of inspection
We gave the provider 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.
Inspection activity started on 13 February 2023 and ended on 20 February 2023. We visited the office location on 14 February 2023.
What we did before the inspection
We reviewed information we had received about the service since it registered with CQC.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We used information gathered as part of monitoring activity that took place on 07 December 2022 to help plan the inspection and inform our judgements.
We used all this information to plan our inspection.
During the inspection
We spoke with 2 relatives of people who used the service about their experience of the care provided. We spoke with 5 members of staff including the nominated individual, the registered manager and 3 care staff.
We reviewed a range of records. This included 3 people’s care records and the medication records for 1 person. We looked at 2 staff members’ files in relation to recruitment. We also looked at a variety of records relating to the management of the service, including policies and procedures.
Updated
16 March 2023
About the service
Luma Homecare is a domiciliary care service and supported living service providing personal care to people. At the time of our inspection, there were 3 people receiving support in their own homes.
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.
At the time of the inspection, the location did not care or support for anyone with a learning disability or autism. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
The provider had checks and audits in place but these had failed to identify the areas for improvement found at this inspection including safe recruitment processes, medication management records and care planning and risk assessments.
The small staff team in place knew people well, but care records such as care plans and risk assessments needed more information to give staff clear guidance for managing people’s risks.
The provider's recruitment practices required improvement to ensure people were supported by suitable staff. Medication management records needed improvement to ensure they included detailed guidance for staff.
Staff adhered to infection control procedures and protected people from the risk of infection. Staff were knowledgeable in safeguarding adults procedures. Relatives we spoke with said people were safe with the care and support of staff.
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.
Staff were caring, respectful and they involved people in decisions about their care and how they wanted to be supported.
Relatives we spoke with said the service was well managed and staff provided good care. Staff working for the provider told us they felt supported in their role.
The provider was open and receptive to the areas of concern identified in the inspection. After the inspection the provider took immediate action to address some the concerns we found.
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 at the previous premises was requires improvement (published 01 May 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have found evidence that the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified a breach in relation to good governance. Please see the action we have told the provider to take at the end of this report.
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.