22 August 2022
During a routine inspection
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.
At the time of the inspection, the location did not provide any personal care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group. The support the provider currently provided to people with a learning disability or an autistic person was beyond the scope of our regulation.
About the service
Bio Luminuex Health Care is a domiciliary care agency providing personal care to people in their own homes. At the time of our inspection there were 12 people receiving personal care from Bio Lumineux Health Care.
Not everyone who used the service received personal care. 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.
People’s experience of using this service and what we found
Right Support: Bio Lumineux Health Care provides care at home to people. Care plans lacked detail about people’s needs and preferences so we could not be confident people were always receiving the support they wanted. Consent was not recorded appropriately despite the provider’s audit identifying this corrective action had not been taken.
People were not always supported to have maximum choice and control of their lives; the policies and systems in the service did not consistently support this practice. Information about the risks people faced when receiving care was not detailed enough to ensure people received safe support.. Staff had received the training they needed to perform their roles.
Right Care: Care was not planned in a person centred way. Records of care were not always clear and the registered manager recognised improvements were needed in how staff made records. People’s families provided feedback and contributed to reviews of their care. Relatives told us they were happy with the care their family members received.
Right Culture: The registered manager demonstrated they had positive values. Staff and families spoke highly of the registered manager and said they found them approachable. The quality assurance and governance processes in place needed to be strengthened as they had not addressed issues we found with the quality of care plans, risk assessments and recruitment systems.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 April 2021 this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment, person centred care and good governance at this inspection. We have also made recommendations about strengthening recruitment and recording people's consent.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.