11 December 2015
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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Health and Social Care Act 2014.
The inspection took place on 3 and 4 November 2015 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure somebody would be available at the agency office.
The inspection team consisted of one adult social care inspector.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. Before our inspection, we reviewed the information in the PIR along with information we held about the agency, which included incident notifications they had sent us. A notification is information about important events which the service is required to tell us about by law.
We sent questionnaires to 15 people using the service and 15 friends and relatives to obtain their views about the care provided. We received nine responses from people using the service and three responses from friends and relatives. We spoke with one social care professional to obtain their views about the care provided by the service.
During our inspection we visited three people who used the service. We checked if their regime of medicines was being administered safely and looked at their care records. We also spoke with two family members to gain their opinion of the service. We looked at two other care records.
We spoke with six staff who provided care and the registered manager. We looked at three care staff files and policies which related to the running of the agency, such as medicine administration and quality monitoring. We looked at the agency’s survey results from 2015.
11 December 2015
The inspection took place on 3 and 4 November 2015 and was announced.
Our previous inspection visit in December 2013 found that the service was meeting the requirements we looked at.
Moorcare Devon Ltd is an agency based in Tavistock which provides assistance with people's personal care needs in their own home. They also provide personal care for up to six people living in a supported living setting. People who use the service are over 18 years of age. There were 27 people receiving personal care from Moorcare Devon Ltd at the time of the inspection.
There was a registered manager who was also the registered provider. A registered manager is a person who has registered with the Care Quality Commission (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 2008 and associated Regulations about how the service is run.
There were enough staff employed to meet people’s needs who were recruited in a safe way, trained and supervised, to provide the service which people needed. Staff said they felt supported and always had a senior staff member they could consult.
People were protected from abuse and harm because staff understood their responsibilities and if they had concerns they contacted the right authorities.
Risks to people’s health and welfare were assessed and managed in their best interest. Where there were health care concerns staff ensured health care professionals were contacted.
People were very satisfied with the help they received with their medicines.
People were involved in decisions about their care and no care was delivered without their consent.
People and their family members told us, “The girls are all very pleasant”; “They’re very, very good and very caring. The carer’s way with mum is very nice.” People said care workers treated them with respect and dignity and ensured their privacy was upheld when receiving care.
People’s care needs and wishes were described in their plan of care and the registered manager and the care workers knew people’s individual preferences and tried to meet them.
People said they knew how to make a complaint and felt their views would be listened and responded to.
People’s views were sought through surveys and face to face meetings with care workers and the registered manager. Where any potential improvement was identified this was provided where possible. The registered manager understood and promoted strong team work so they had a committed and competent staff team to meet the needs of people using the service.