Lumiere Care

Updated 23 April 2022

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 completed by an inspector.

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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post, who was also the provider.

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 registered manager would be in the office to support the inspection.

Inspection activity started on 29 March 2022 and ended on 4 April 2022. We visited the location’s office on 29 March 2022.

What we did before the inspection

We reviewed information we had received about the service since registration. 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

At the site visit we spoke with the registered manager who was also the provider and two care staff. We reviewed a range of records. These included three people's care and medication records. We looked at two staff files in relation to recruitment and staff supervision.

After the inspection

We spoke with one person and four people’s relatives about their experience of the care provided. We also spoke with a professional who had been involved with the service. We continued to seek clarification from the provider to validate evidence found. A variety of records relating to the management of the service, including policies and procedures were reviewed. We looked at training data and quality assurance records.

Updated 23 April 2022

Lumiere Care is a domiciliary care agency providing personal care to people. The service provided support to younger and older adults, who may be living with dementia. At the time of our inspection there were six people using the service.

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

People and their relatives provided positive feedback about the service. Their comments included, “Absolutely brilliant,” “I haven't even considered another provider” and “I am lucky to have them - they are really good.”

The registered manager had systems and processes in place to protect people from the risk of abuse. Potential risks to people had been identified, assessed and managed for their safety. Staff understood what to report and how. Staff had clear strategies and guidance to enable them to support people living with dementia. There were sufficient appropriate staff employed to provide the level of care people commissioned. Processes were in place to ensure people received their medicines safely and any potential risks were discussed and managed with them. Processes were in place to manage risks arising from the COVID-19 pandemic.

Staff assessed people’s needs and their care was planned with them. People were referred to health care professionals for assessment and guidance as required. Staff had the skills and knowledge required for their role. People were supported to ensure they ate and drank sufficient for their 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.

Staff treated people with kindness, respect and compassion. They upheld their privacy and dignity during the provision of their care. People were supported to express their views and staff involved them in decisions about their care.

People’s care was planned with them and was responsive to changes in their needs and preferences. Staff had supported people at the end of their life. People and their relatives had regular contact with the registered manager and felt able to raise any issues.

The registered manager who was also the provider promoted a positive culture, aimed at achieving good outcomes for people. They understood their legal responsibilities and the challenges of their role. Staff worked with professionals to ensure people’s needs were met. People and staff were engaged and involved with the service. Processes were in place to enable monitoring and review of the quality of the service people received.

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 29 October 2020 and this is the first inspection.

Why we inspected

This was a planned inspection.

Follow up

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