Moorcare Devon Limited

Updated 24 May 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

This inspection was carried out by 1 inspector, an assistant inspector and 2 Expert by Experiences who made telephone calls. 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 and specialist housing such as Supported Living. This service provides care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

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 provider or 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 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 visited 4 people who used the service and spoke with 6 people and 5 relatives by telephone. We spoke with 5 members of staff as well as the registered manager. We contacted 5 health and social care professionals for their feedback. We reviewed a range of records. This included 4 people's care records and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including quality monitoring audits were viewed.

Updated 24 May 2023

About the service

Moorcare Devon Ltd is a domiciliary care service providing the regulated activity of personal care. This service provides care and support to people living in several ‘supported living’ settings, so that people can live as independently as possible. CQC does not regulate the premises used for supported living; this inspection looked at people's personal care service. The service provided personal care to 24 people at the time of the inspection.

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

People told us they felt safe and were happy with the care and support they received. They told us their care was delivered by caring and consistent staff. Management and staff understood how to protect people from the risk of harm or abuse. People and staff told us there was enough staff to meet people’s needs. Safe recruitment processes were in place and staff received an induction and training as well as competency checks to ensure people received safe care. Infection prevention and control routines were in place to reduce people’s risk of infection.

We have made a recommendation about ‘as required’ medicines.

Staff provided people with support which reflected their needs and risks. 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.

The registered manager and staff team were clear about their roles and responsibilities. Systems were in place to monitor the quality and safety of the service. People’s views about the service were sought and listened to. Everyone said the management team were approachable and supportive.

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

Rating at last inspection

The last rating for this service was good (published 5 December 2017).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding. We undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to outstanding. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Moorcare Devon Ltd on our website at www.cqc.org.uk.

Follow up

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