About the service MBI Homecare Limited is a domiciliary care agency. At the time of this inspection the service supported 22 people with personal care. This included adults of all ages who required support due to living with dementia, learning disabilities, autism, physical disabilities, and sensory impairments. Not everyone who used the service received personal care. Other services were provided to people such as help with shopping and cleaning, but these are not regulated activities and therefore we did not look at these.
People's experience of using this service and what we found
People and their relatives felt the care and support provided by MBI Homecare Ltd was safe. Care workers had completed safeguarding training and understood how to provide safe care. Risks to people's health and wellbeing had been identified. Overall, risk management plans had been completed and reviewed monthly to support staff to manage and mitigate risks.
Staff were recruited safely. Enough care workers were available to provide the care and support people needed at the time they expected.
Care workers sought peoples consent before providing any assistance. A new assessment tool was being implemented at the time of our visit to ensure people’s capacity was assessed and their rights were upheld in line with the law.
Care workers developed and refreshed their knowledge and skills through an initial induction followed by an ongoing training. Their competence to carry out their roles was assessed by the registered manager.
People received their medicines as prescribed from trained staff. Care workers followed good infection control practice in people’s homes.
People has access to healthcare services and support when required. People's health was monitored, and advice was obtained if any changes or signs of illness were identified. Care workers knew what people liked to eat and drink and prepared meals in line with people’s dietary requirements.
The registered manager demonstrated understanding of their regulatory responsibilities and lessons had been learnt when things had gone wrong. Governance systems had recently been strengthened and managerial oversight had been improved in response to safeguarding investigations to drive forward improvement.
Staff enjoyed their jobs and felt the service was well-led. People and their relatives felt listened to and spoke positively about leadership of the service and the quality of care they received.
Rating at last inspection: The last rating for this service was good (published 24 August 2019).
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Why we inspected
This inspection was prompted due to concerns received about the provider’s failure to follow their own procedure to obtain timely medical treatment when two people had been unwell. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern and the provider had taken action to mitigate that risk.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.