Lumina Care Warrington

Updated 31 July 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

One adult social care inspector and an Expert by Experience carried out the inspection. 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 homes. At the time of the inspection it was providing care and support to 30 adults.

The service had a manager who was in the process of being registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

We gave the service 24 hours’ notice of the inspection visit to be sure the manager, staff and people they supported would be available to speak with us.

Inspection activity started on 28 June 2019 and ended on 12 July 2019. We visited the office location on 2 July 2019.

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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection:

We spoke with eight people who used the service and three relatives on the telephone about their experience of the care provided. We visited the office location and spoke with five members of staff including the owner, manager and care workers. We reviewed a range of records. This included four people’s care and medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 31 July 2019

About the service:

Kareplus Warrington is a domiciliary care agency registered to provide personal care to adults who live in their own homes. At the time of the inspection the service was providing personal care to 30 adults.

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:

People received a consistently good service and felt safe with the support they received from the staff.

Staff were reliable, caring and professional in their approach to their work. People told us of staff being very considerate and paid attention to detail.

The service assessed people's needs and worked in close partnership with healthcare professionals and families to ensure people’s health care needs were met. This was particularly well managed in providing end of life care to people.

We received positive feedback from health and social care professionals about the service provided and the open nature of the management team.

People were safeguarded against the risks of abuse and harm by the systems and by the staff training in place. Risks to people were assessed and mitigated. When incidents took place, the provider reflected on events to help reduce the risk of these happening again.

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 supported this practice.

Staff had access to a comprehensive training programme developed by the company. Staffing levels were continuously reviewed to ensure there were enough staff to provide reliable, flexible and responsive care.

People and staff spoke of the manager's commitment to provide a high quality of service. One relative told us, “All the staff are so very supportive of us all, and if we raise any concerns with the manager these are dealt with in a sensitive and timely way.”

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 04/07/2018.

Why we inspected:

This was the first planned inspection.

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.