We carried out a review of the data available to us about Libra Care Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Libra Care Limited, you can give feedback on this service.
About the service
Libra Care Limited is a home care provider providing personal care to 39 people aged 65 and over at the time of the inspection.
People’s experience of using this service and what we found
The registered manager had not consistently recorded their recruitment decisions to assure themselves staff were recruited safely. Training records did not always evidence the training / support provided to staff.
People were supported by staff who knew how to safeguard people from abuse and manage risks to keep people safe. Medicines were given in a safe way and staff followed safe infection control procedures.
People’s needs were assessed and reviewed as appropriate. People were supported to eat where needed and staff sought healthcare support for people if required. 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.
Staff were kind, caring and went above and beyond their usual duties for people. People were treated with dignity and had their independence encouraged.
People were supported by staff who knew them well. People’s wishes at the end of life were considered and complaints made had been investigated.
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 18 May 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.
There was a registered manager in post at the time of our inspection. 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 were extremely positive about the care provided by the service and said that they felt safe with all the staff who supported them. Staff recognised how to identify the signs of potential abuse and knew the reporting system to keep people safe. Risks to people were assessed and reviewed regularly to ensure care remained appropriate for people’s needs. There were sufficient numbers of trained staff who had the appropriate recruitment checks to ensure they were suitable for their role. Staff arrived on time for their visits and the right numbers of staff were available to provide the support people needed. People received their medicines as prescribed by staff who had been assessed as competent to give people’s medicines safely.
A thorough recruitment and induction process was completed by the provider to ensure people were supported by staff who had the skills and knowledge to care for them. People were involved in all decisions about how they wanted their care and support needs met. Staff ensured people consented to the care they received and were aware of how to respect people’s choices and rights. People were supported to have sufficient to eat and drink and were encouraged to have a balanced diet.
People constantly referred to staff and the provider as being kind, caring and considerate. People felt listened to and respected by staff. They said staff went above and beyond to what was expected from them. Staff respected people’s privacy and dignity. People were supported to access healthcare services when required.
People were encouraged to give their feedback and views about the quality of the service they received. Communication systems used to share information about people’s care and support needs were effective. Care records were personalised, regularly reviewed and updated to ensure they were reflective of people’s needs. There was a system in place to record and investigate complaints and we saw any concerns were dealt with appropriately.
People felt the service was very well run and the management team very friendly and approachable. Leadership within the service was strong and an open and positive culture was promoted. Staff felt listened to and said they were confident in their roles and were aware of their responsibilities. Quality audit processes were in place and completed regularly to monitor the quality of the service provided. People were happy to recommend the service to family and friends based on their own experiences.