Background to this inspection
Updated
16 May 2023
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 Health and Social Care Act 2008.
Inspection team
Two inspectors 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.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave a short notice period of the inspection because we needed to be sure the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 21 April 2023 and ended on 3 May 2022. We visited the location’s office on 21 April 2023.
What we did before inspection
We reviewed information we had received about the service since the last inspection, including notifications of significant events. We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, a supervisor, and the provider’s nominated individual about how the service was run. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We spoke with 2 people who used the service and 8 relatives to hear their feedback about the care the agency provided. We received feedback from 2 professionals who had worked with the service and from 17 staff about the training, support and information they received.
We reviewed care plans and risk assessments for 5 people, recruitment records for 5 staff, accident and incident records, quality audits, and meeting minutes. We also checked records of training, supervision and spot checks, the complaints log, satisfaction surveys, and the arrangements for managing medicines.
Updated
16 May 2023
About the service
Morecare Services(UK)Ltd provides personal care and support to people living in their own homes. The Care Quality Commission (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. At the time of the inspection the service was supporting 38 people, all of whom received personal care.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support:
People received a reliable service from staff who knew how to provide their care in a safe way. Staff understood their responsibilities in protecting people from abuse and knew how to report any concerns they had. The provider’s recruitment procedures helped ensure only suitable staff were employed.
Risk assessments had been carried out to identify and mitigate any risks involved in people’s care. Medicines were managed safely. Staff helped keep people’s homes clean and wore personal protective equipment when they carried out their visits.
People received their care from consistent staff who knew their preferences about their care and respected their choices. Staff encouraged people to be as independent as possible and provided support in way that promoted this.
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.
Right Care:
People received person-centred care that reflected their individual needs. Staff treated people with respect and maintained their dignity and privacy when providing their care.
Staff monitored people’s health effectively and highlighted any changes in people’s needs so action could be taken to address these. Staff worked well with other professionals involved in people’s care to ensure they received the support they needed.
Right Culture:
Staff were kind and caring. They had established positive relationships with the people they supported and people’s families.
Staff had access to the training they needed to carry out their roles and were well-supported by the office team. Staff had opportunities to discuss their roles and any challenges they faced at individual supervision and team meetings.
People receiving care and their relatives said the service communicated well with them. Relatives told us the office team kept them informed about their family members’ health and wellbeing.
People had opportunities to give feedback about their care and told us their views were listened to.
Quality monitoring systems enabled the office team to maintain an effective oversight of the service. These included regular audits and spot checks to observe the care people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 29 April 2021) and there were 2 breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.