Moonlight Homecare Ltd

Updated 5 July 2023

The inspection

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 Health and Social Care Act 2008.

Inspection team

This inspection was conducted by 1 inspector and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection. Inspection activity started on 16 May 2023 and ended on 25 May 2023. We visited the location’s office on 19 May 2023.

What we did before the inspection

Due to technical problems, the provider was not able to complete a Provider Information Return (PIR). 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 19 April 2023 to help plan the inspection and inform our judgements. We reviewed information we had received about the service since it registered. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 2 people who used the service and 1 relative. We also spoke with 2 care workers and the registered manager. We looked at a range of care records, including 3 people's care and risk management plans, 4 staff files, and a variety of records relating to the management of the service. We continued to seek clarification from the provider to validate evidence found and looked at recruitment records, care plans and procedures.

Updated 5 July 2023

About the service

Moonlight Homecare Ltd is a domiciliary care agency providing personal care and support to people in their own homes in the London Borough of Ealing. At the time of the inspection the agency was supporting 4 older people.

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

People and their relatives spoke positively of their care, the staff and how the service was managed. A person told us, “They’re honest and excellent in how they’re working with the people.” Staff treated people with dignity and respect.

There were monitoring processes in place to ensure people received good care. Some care records were not always consistently clear or detailed enough and there was therefore a risk that a new member of staff reading those records would not know how to care for people appropriately.

We have made a recommendation about maintaining care records.

The provider developed care plans with people and their relatives and these set out their care preferences and communication needs.

People felt safe. There were systems in place to help protect people from abuse and to investigate and learn when things went wrong.

There were enough staff to meet people's needs and they visited people in a timely manner. People were supported by staff they were familiar with and who knew their needs and how they liked to be supported. The provider’s recruitment processes helped to make sure only suitable staff were employed. Staff received regular training and supervision so they could support people safely. They felt supported in their roles by the registered manager.

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.

People and their relatives knew how to raise issues or complaints and found the registered manager responsive and approachable. People told us they were pleased with their care and nothing needed improving.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 6 April 2022 and this is the first inspection.

Why we inspected

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

Follow up

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