21 April 2023
During an inspection looking at part of 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.