You are here

Mumby's Homecare Support Limited Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 12 February 2019

We undertook an announced inspection of Mumby's Homecare Support Limited on 13 December 2018 and 19 December 2018. We told the provider two days before our visit that we were coming to make sure that someone would be available to support the inspection and give us access to records. At the time of our inspection 42 people were receiving a personal care service from the service. Not everyone using Mumby's Homecare Support Limited receives a 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. The service was supporting people with a range of needs, including older people with living with a dementia type illness, people with physical disabilities and people living with mental health needs.

At our last inspection we rated the service Good overall. At this inspection we found areas of the service had improved to Outstanding.

The service had a registered manager. 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.

The effectiveness of the service had improved to Outstanding. The service worked in partnership with other organisations to keep up to date with new research and had developed practice in line with current guidance. Staff were trained to follow best practice and training was developed around people’s individual needs, such as dementia. Training was adapted to meet the needs of care staff to ensure their understanding. Management offered proactive support to care staff enabling people to be supported well. Staff spoke positively about the support they received from their managers. People told us the service was friendly, responsive and well managed. People were supported to eat and drink enough to ensure they received sufficient nutrition and were able to access healthcare services when required to maintain their health. 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.

The leadership and management of the service had improved to Outstanding. Since the previous inspection, the provider had put in measures to optimise how the service was run including expanding management of specific areas to ensure expertise. The provider had a vision to provide high quality person centred support to people. People valued this and staff expressed feeling part of the family led organisation and shared their vision. There were clear systems in place to ensure that the service ran efficiently and safely and regulations were met as required. The service was keen to continuously learn and improve and the provider collaborated with other organisations to increase and improve the provision of live-in care as an alternative to residential care.

People were safe as staff knew the correct procedures to follow if they considered someone was at risk of harm or abuse. Staff had received appropriate safeguarding training and there were policies and procedures in place to follow in case of an allegation of abuse. The provider had safe recruitment procedures in place and conducted background checks to ensure staff were suitable for their role.

Risks to people were identified and plans put in place to minimise these risks. Guidance was in place for staff so that they could mitigate risk, and support people to take sensible risks as safely as possible. People received their prescribed medicines.

There was clear guidance for staff on how to meet people’s individual needs and support them to achieve their goals. Staff treated people with kindn

Inspection areas

Safe

Good

Updated 12 February 2019

The service was safe.

People told us they felt safe. Staff had been trained to recognise and respond to abuse and they followed appropriate procedures.

Safe recruitment practices were implemented and there were sufficient numbers of skilled and experienced staff to meet people’s needs.

People were supported by staff who managed medicines consistently and safely. Medicines were stored and disposed of correctly and accurate records were kept.

Effective

Outstanding

Updated 12 February 2019

The service improved to Outstanding.

Care staff received an excellent induction and were provided with ongoing and advanced training, support and supervision to ensure they always delivered the very best care.

The service had excellent systems in place to ensure that people received effective care that met their needs and expectations.

People were supported by staff who confidently made use of their knowledge of the Mental Capacity Act 2005.

The service worked collaboratively with other professionals to ensure that people maintained their health and wellbeing.

People were supported to eat and drink to maintain their nutrition.

Caring

Good

Updated 12 February 2019

The service was caring.

People were treated with respect. Staff understood how to provide care in a dignified manner and respected people's right to privacy and choice.

People told us staff were caring.

Responsive

Good

Updated 12 February 2019

The service was responsive.

People using the service had personalised care plans and their needs were regularly reviewed to ensure they received the right care and support.

Activities were meaningful and were planned in line with people’s interests.

The service had a complaints procedure that was accessible both to people who used the service and their relatives. When raised, issues had been responded to in an appropriate and timely manner.

Staff provided end-of-life care in a responsive and compassionate way.

Well-led

Outstanding

Updated 12 February 2019

The service improved to Outstanding.

The service was exceptionally well-led and the vision and values of the management, staff and organisation had been integrated into the delivery of people’s support and care.

The service was an excellent role model for other services. It worked in partnership with others to deliver care and support based on good practice and people’s informed preferences.

Staff were involved, well supported and worked well together and were highly motivated to follow the values of the organisation.