Archived: Luma Homecare Also known as Suite G10

Updated 1 May 2021

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector who visited the office and supported living service on 14 January 2021 and made telephone calls on 18 January 2021.

Service and service type

This service is domiciliary care agency. It provides personal care to people living in their own houses. The provider was in the process of adding service type of supported living when we inspected.

The service had a manager 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 48 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection.

What we did before inspection

We reviewed information we had received about the service since it was registered. We sought feedback from the local authority. We did not ask for a 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 one person who used the service and with one relative of people who use the service about their experience of the care provided. We spoke with two care workers, the registered manager and registered provider who is also the nominated individual. We reviewed a range of records. This included two people’s care records and medication records. We looked at three staff files in relation to recruitment. We also looked at records that related to the management and quality assurance of the service. After the inspection the provider supplied us with additional information that we requested.

Updated 1 May 2021

About the service

Luma Homecare limited is a domiciliary care agency and the provider was in the process of adding supported living to their service type. People received support in their own homes or supported living services.

There were four people receiving a service of which only two were in receipt of the regulated activity of personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they did we also consider any wider social care provided.

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

The provider had some quality monitoring systems in place, however they did not always identify issues and therefore were not effective.

There was not a effective system in place for the assessment and monitoring of risks to people. Care plans did not contain all the required information needed to guide and inform staff. Risks in relation to medicine administration were not assessed. Recruitment of staff was not always robust.

There was enough staff to meet people’s care and support needs. People told us they were very happy with their care and staff understood their needs. People told us they knew what to do if they were unhappy with their care and felt confident speaking to staff or the registered manager. People told us they were involved with planning their care.

Appropriate Personal Protective Equipment (PPE) was made available and worn by staff and they had received information and training so they understood the importance of this. Staff felt supported by the registered manager and provider.

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 guidance CQC follows 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 some of the underpinning principles of right support, right care, right culture. The supported living service looked like a family home and was located within easy access of local amenities which people were supported to access. Work was in progress to ensure people had personalised care plans. The provider was still working on their model of care for the supported living service so tenancy agreement and contracts for care demonstrated a clear separation between the delivery of care and the accommodation. This is so people experience the security and opportunity for choice, control and inclusion that this service type was designed to deliver.

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

Rating at last inspection

This is the first rating of this service.

Why we inspected

The provider submitted an application to registration. During the process of determining the application concerns about people's safety were highlighted. A decision was made for us to inspect and examine those risks and to carry out a full rating inspection.

We found evidence the provider needs to make improvements. The overall rating for the service is requires improvement. This is based on the findings at this inspection.

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 safe care and good governance. Please see the action we told the provider to take at the end of this report.

Follow up

We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.