We carried out a review of the data available to us about Medukcare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Medukcare, you can give feedback on this service.
Medukcare Recruitment Limited is a domiciliary care provider, providing live-in personal care to people living in their own homes, including those living with dementia, neurological conditions or autistic spectrum disorder. 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 our inspection there were three people using the service.
People’s experience of using this service and what we found
People told us they felt safe. There were safeguarding adults procedures in place to guide staff. The registered manager and staff had a clear understanding of these procedures. There were appropriate recruitment checks before staff started work and there were enough staff available to meet people's care needs.
The provider and staff were following government guidance in relation to infection prevention and control. Staff had received training on COVID-19 and the use of personal protective equipment. The service had business continuity, Coronavirus contingency management and staffing shortage contingency plans in place that made provisions for safe care in the event of an emergency, or an outbreak of COVID-19.
The provider carried out an assessment of people's care needs before they started using the service to ensure staff could support them safely. Staff had received training relevant to people's care needs. 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 and their relatives told us they were treated in a caring and respectful manner and they had been consulted about their care and support needs. No complaints were made to the service but people we spoke with knew how to make a complaint if they were unhappy with the service.
There were effective systems in place to regularly assess and monitor the quality of the service people received. Staff said they received good support from the registered manager. The registered manager took people and their relatives views into account by having regular contact with them.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People who used the service could live as full a life as possible and achieve the best possible outcomes. People using the service received planned and co-ordinated person centred support that was appropriate and inclusive for them. Staff understood how to communicate with people effectively to ascertain and respect their wishes. People were supported with dignity and empowered to maintain important relationships, to access their local community and supported to prevent becoming socially isolated.
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 not rated at the last inspection (published 23 November 2018) due to insufficient evidence at that time.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Medukcare Recruitment Limited on our website at www.cqc.org.uk.
Why we inspected
We carried out a comprehensive inspection of the service on 23 November 2018. However, there was insufficient evidence to give a rating at that time. This was a planned comprehensive inspection to enable us to provide an overall rating for the service.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was aware of their CQC registration requirements including submitting notifications of significant incidents.
Risks to people had been assessed and management plans developed to manage risks identified. There was a safeguarding policy and procedure in place. The registered manager understood their responsibilities to safeguard people from abuse. There were systems available to manage people’s medicines safely. However, at the time of our inspection no one was being supported with their medicines. People received their care and support at the time they needed and in a safe way. There were systems to report and manage incidents and accidents. Infection control procedures were followed.
The registered manager assessed the needs of people and delivered care and support to meet people’s individual needs and preferences. People and their relatives were involved in planning and reviewing their care. People were supported to eat and drink where required. People were supported in a way that met their individual needs and preferences.
The registered manager, where required, supported people to access healthcare services. The registered manager worked in partnership with other agencies to ensure people’s needs were met.
The provider had a system in place to ensure staff had adequate training, support and supervision to deliver effective care and support to people. At the time of our inspection, there were no staff employed to work with people, however, the registered manager provided care to two people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. The registered manager obtained consent from people and their relatives before supporting them. The registered manager understood their responsibilities with regards to the Mental Capacity Act 2005.
The relative we spoke with told us that the registered manager treated their loved one with kindness, compassion and respect. The registered manager respected people’s dignity and privacy; and promoted their independence. The registered manager told us they had completed training in end-of-life care and were able to provide this service if people needed it.
Relatives knew how to raise their concerns and complaints about the service. The registered manager sought feedback from people and their relatives. The provider worked in partnership with other organisations to meet the needs of people.