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Mobelle Home Care Limited Good

Reports


Inspection carried out on 3 March 2020

During a routine inspection

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 i

Inspection carried out on 27 June 2017

During a routine inspection

Mobelle provides personal care and support services to older people living in their own homes. At the time of our inspection the provider was supporting up to 20 people.

The service had 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.

The provider had basic risk assessments in place which were regularly reviewed, but needed to ensure that more detailed risk assessments were in place when people’s needs changed.

The service had a safeguarding procedure in place. Staff and the provider took safeguarding concerns seriously, but the provider was not aware of their duty to notify the CQC when incidents occurred. Staff we spoke with however demonstrated a good understanding of safeguarding issues.

There was a robust recruitment procedure to help ensure the staff recruited were suitable to work with the people using the service.

Staffing levels were sufficient to provide the level of care required by people.

There was a robust induction programme, which included mandatory training, shadowing and buddying with an experienced worker. Staff demonstrated good understanding of their roles and responsibilities.

The service demonstrated a commitment to staff training, which was on-going and regular refreshers were undertaken. Staff were given positive encouragement to undertake further, more specialised training appropriate to the work.

Supervisions were undertaken regularly and considered important in offering an opportunity for discussion between staff and management about on-going work issues. Professional Development Reviews (PDR) were held annually to ensure learning was reviewed and training needs were met.

Care files were clear and comprehensive and contained relevant health and personal information. They were person-centred and included individuals’ goals, wishes and achievements. The service was flexible and responsive to changing needs, desires and circumstances.

Confidentiality was respected and independence was promoted.

Communication with relatives was on-going throughout the duration of their relative’s involvement with the service. Feedback was regularly sought from families and users of the service.

Comments were encouraged formally and informally and there was a complaints policy in place.

Team meetings were regularly undertaken, giving staff the opportunity to discuss any issues and to share good practice examples.

A number of audits were undertaken.