Background to this inspection
Updated
27 April 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2014 and to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was announced and carried out by two inspectors. We gave the provider 48 hours’ notice to ensure that they would be available to support us with our inspection and to ensure staff were available for us to speak with.
Prior to the inspection we received concerning information suggesting people were at risk of harm because they did not receive safe care when being assisted with their personal care needs, and that staff had not undergone the relevant employment checks prior to starting with the company. We reviewed information we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us.
During the inspection we spoke with four people who used the service, two staff members, and the registered manager. We viewed information relating to three people’s care and support and we also reviewed records relating to the management of the service including employment records, auditing tools and training and development records.
Updated
27 April 2017
This inspection was carried out on 22 and 24 March 2017 and was announced. This was the service's first inspection since registering with the Care Quality Commission on 05 September 2016.
Mboho Homecare provides personal care for people living in their own homes. At the time of the inspection five people were receiving a service from them.
The service had a manager who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run. On this occasion the registered manager was also the provider.
Prior to this inspection we received information that suggested people were at risk of harm because employment checks were not carried out and people received unsafe care. When we inspected Mboho Homecare we found no evidence to support these concerns, however we found that further development was required in areas relating to management of the service and recording peoples care needs to ensure they were meeting current requirements.
People told us they felt safe and their individual risks were assessed and managed. There were sufficient staff to meet people’s needs who had undergone rigorous employment checks prior to working in the service. People were not supported to administer their medicines.
People were supported by staff who had received appropriate supervision and day to day support from the registered manager, however induction training was an area being further developed. People’s consent was sought before care was offered and the registered manager and staff were familiar with the principles of the Mental Capacity Act 2005. People were supported to eat and drink enough to maintain a healthy diet and health professionals were contacted on people’s behalf if needed.
People told us they were treated with dignity and respect and were involved in planning and reviewing their care. Their confidentiality was promoted as records were held securely.
People received personalised care that met their needs and there was effective communication between colleagues and the management team to help ensure staff had up to date information. People were supported with interests important to them and staff amended their social interaction with people based on their individual needs. There had been no complaints to review but people knew who to speak with if they had a complaint.
There were systems in place to monitor the quality of the service however these at the time of inspection had not been effectively utilised. These were being developed further to support an increase in people who used the service when needed. People’s care records lacked detail about the person, and were not updated when people’s needs changed. People knew the registered manager and told us they felt the service was well run. Staff were very positive about the registered manager.