Luna Healthcare

Luna Healthcare is a domiciliary care agency providing personal care to two people aged 65 and over at the time of the inspection.

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

At this inspection we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These related to good governance and fit and proper persons employed.

The providers systems were not robust, and people’s identified risks were not always managed well, such as the care of people's skin. Records did not always provide guidance to ensure people received safe and consistent, person-centred care from all staff. Systems were not always in place to ensure that people received their medicines in a safe way.

The provider did not have a quality assurance framework to assess the standards of care in the service. The informal processes in place had not identified the improvements required found at this inspection.

People said they felt safe with their care and support and with the staff. .

Staff said they felt supported by the provider and were aware of their responsibilities to share any concerns about the care they provided.

People received person-centred care from their regular care staff.

People and relatives spoken to were complimentary about the care provided by staff. People trusted the workers who supported them. People said staff were kind, caring and went above and beyond for them and their families.

People had the opportunity to give their views about the care, but there were no records to evidence this. There was consultation with staff which had lead to an improvement in people’s care records. This made it easier for new carers to understand peoples needs quickly.

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.

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 24 July 2018 and this was the first inspection.

Why we inspected

This was a planned inspection as the service was previously unrated.

We have found evidence the provider needs to make improvements. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the Safe, Effective, Responsive and Well Led sections of this full report.

Enforcement

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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the management oversight of care and the checks carried out before people start work at the service during this inspection.

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 for 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. If we receive any concerning information we may inspect sooner.