Moon Rise 24hr Recruitment Ltd

Moon Rise 24hr Recruitment Ltd is a domiciliary care agency, providing personal care to children and adults in their own homes. Some people who use the service are autistic or have a learning disability. At the time of the inspection there were 3 people receiving personal care.

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.

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

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.

Right support

People received safe care and support in their own homes. Staff received training in safeguarding and knew how to protect people from the risk of abuse. People and relatives were happy with the care and support provided. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life, as much as possible. Staff communicated with people in ways that met their needs.

People said they were supported by a consistent staff team, which made them feel safe. Staff had a good understanding of people's needs and how they wished to be supported.

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.

Right care

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s individual needs. Staff were recruited safely.

Staff and people co-operated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks. People had good relationships with staff and were happy with the way staff supported them. Medicines were managed safely and administered by staff who had completed relevant training and were deemed competent.

Right culture

The registered manager encouraged an open and positive culture. The service was well managed and provided good quality, consistent care to people in their own homes. People were supported to be as active and independent as possible.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management team and staff. The provider regularly sought feedback from people who used the service, their relatives and health and social care professionals to continually improve the service. There were effective quality monitoring systems in place.

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 this service was good (published 12 July 2018).

Since the last inspection, the provider applied to CQC to make changes to their registration, namely moving to a new office location. This inspection started whilst the service was registered at premises in Middlesbrough. During the inspection, CQC approved the provider’s application to move to an office location in Stockton. We visited the provider’s new office location in Stockton.

Why we inspected

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

This report only covers our findings in relation to the key questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service remains good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Moon Rise 24hr Recruitment Ltd on our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

This service is a domiciliary care service. It provides personal care to people living in their own houses and flats. It currently provides a service to older people.

Not everyone using Moonrise 24 hr Recruitment receives regulated activity. CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection three people were using the service who received personal care.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People and their relatives told us staff employed by the service helped them to stay safe. Risks to individuals were documented. These assessments included guidance for care staff on how to manage any risks identified and minimise the likelihood of harm.

The provider had business continuity plans in place to ensure that people’s support needs were still met in emergency situations. Infection control policies and procedures were followed to ensure the control of infection. Medicines were managed safely.

People were safeguarded from abuse and avoidable harm. Staffing levels were monitored by the registered manager to ensure sufficient staff were on duty to keep people safe. Recruitment policies minimised the risk of unsuitable staff being employed.

Staff received the training they required to help them keep people safe and were supported with regular supervision. Staff appraisals had not yet taken place due to the length of time the regulated service had been in operation however these had been scheduled.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

Some people using the service received support with food and nutrition. Where this was the case people were assisted with their dietary needs and preferences. People were supported to access external professionals to monitor and promote their health.

All of the people and relatives we spoke with said that the staff team were kind and caring. We observed and were told by both people and their relatives that staff treated people with respect and promoted independence. Personalised care was planned and delivered based upon people’s support needs and preferences.

A complaints policy and procedure was in place. Staff understood and followed people's care and support. The provider had policies in place to support people with end of life care if needed.

People, their relatives and staff informed us communication within the company was good. The staff we spoke with told us there was always someone to speak to if they needed guidance or support including out of hours. Quality assurance checks were carried out by the registered manager and provider to monitor and improve standards at the service. Feedback from people, relatives and staff about the service was sought and analysed.

The registered manager promoted the service’s policies and procedures and monitored the use of these to ensure the expected quality outcomes for people supported were met.

The registered manager had informed CQC of significant events in a timely way by submitting the required notifications. This meant we could check that appropriate action had been taken.