Moral Care Limited

Updated 9 February 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

The inspection was undertaken by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

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 the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). 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 this information to plan our inspection.

During the inspection

We spoke with 2 people that used the service and 7 relatives, and viewed written feedback sent to us. We spoke with 5 members of staff including the registered manager.

We looked at 2 care plans and risk assessments, rotas and 3 sets of staff recruitment records. We looked at policies and procedures, audits and the electronic recording system.

Updated 9 February 2023

About the service

Moral Care Limited provides personal care to people in their own homes. The office is based in Overton in Morecambe and supports people in the surrounding areas. 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. At the time of inspection 18 people received support, 10 of which received support with personal care.

People’s experience of using this service and what we found

People were safe and protected from harm. One relative said, “I feel that [relative] is safe; if I want to go on holiday, I can leave him with them, and he will be safe.” People were supported by enough staff that were safely recruited. People were supported to receive their medicines safely. Staff followed safe processes to minimise the risk of the spread of infection. The registered manager learned from incidents to reduce the risk of them happening again.

People’s needs were fully assessed and people received support according to their care plans. People were supported by consistent staff who had the right skills and experience. Staff helped people to eat and drink and supported them to lead healthy lives. Staff helped people to make their own decisions about their care. 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.

People were supported by staff that were kind and caring, and promoted people’s independence. One person said, “The carers are all very pleasant and they have a lovely attitude, they call me by my name and they remember the things I like and the things I don’t like and they always ask me if I need anything.”

People’s individual needs were responded to well and everyone we spoke with was extremely satisfied with their service. There was a complaints process and low-level concerns were dealt with timely. Staff received training about how to care for people that were at the end of their life.

There was a positive culture at the service; people spoke highly about the staff and staff enjoyed their jobs. The registered manager had a good understanding of risk and made sure that outcomes were monitored. The registered manager was committed to learning and developing to improve the service, and engaged well with people, their relatives and staff.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service was registered with us on 20 May 2021 and this was the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.