Background to this inspection
Updated
1 April 2020
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 Care Act 2014.
Inspection team
One inspector carried out the inspection.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service 24 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 03 March 2020 and ended on 05 March 2020. We visited the office location on 03 March 2020.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with five relatives about their experience of the care provided. We spoke with five members of staff including the director, registered manager and care workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and a sample of care records, that had been improved by the registered manager following our inspection.
Updated
1 April 2020
About the service
Mobelle home care limited is a domiciliary care service It provides personal care to adults living in their own homes, so that they can live as independently as possible. At the time of inspection Mobelle home care limited were supporting 18 people. 8 people were 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
People’s care plans and support documents were not consistently person centred and did not always provide detailed information on how to meet people’s care needs, preferences and choices. This had not impacted on the care provided to people and staff had a good understanding of people. We discussed this with the registered manager who, since the inspection has acted positively to begin to review people’s care records, to ensure they are all person centred and reflective of their needs and wishes.
People did not have end of life care plans in place to ensure they receive personalised care in line with their choices at the end of their life. Despite this, people’s care had not been impacted and as staff worked closely with people and their relatives to provide high standards of care. Since the inspection the registered manager drafted out a questionnaire, for people and their relatives, which they told us will be in place in the near future.
Audits within the service were not clear and did not identify the areas for improvement we found during inspection. The provider’s current audits did not cover people’s care records to ensure they had detailed and accurate information on people’s needs, wishes and preferences.
People were positive about their care. One relative told us, ''The service are amazing, I do not know what I would do without them.” Another review read, ‘Mobelle and their fantastic team improved life for me and my family tremendously! Always at the end of the phone whenever we needed them, the support they showed to my mum and our family was second to none’
People were supported with kindness, respect and compassion by a staff team who knew people as individuals. There was a focus on people making choices about their support and the staff team promoted people to be as independent as possible within their own homes.
People were protected from harm and abuse by systems put in place at the service. People had assessments in place which ensured care was delivered safely. There were enough trained and knowledgeable staff to support people safely and care calls were always delivered on time.
The manager completed audits to monitor the quality of the service. These included medication audits, daily records and spot checks of care delivery.
People and their relatives were encouraged to feed back about their care and support and were involved in service delivery at all levels. The manager and the staff team worked with other organisations to ensure good outcomes for people using the service. People were positive about the management of the service. The manager was passionate about putting plans in place to continue to improve the way people were 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.
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 02 November 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.