14 February 2023
During a routine inspection
Luma Homecare is a domiciliary care service and supported living service providing personal care to people. At the time of our inspection, there were 3 people receiving support in their own homes.
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.
At the time of the inspection, the location did not care or support for anyone with a learning disability or autism. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
People’s experience of using this service and what we found
The provider had checks and audits in place but these had failed to identify the areas for improvement found at this inspection including safe recruitment processes, medication management records and care planning and risk assessments.
The small staff team in place knew people well, but care records such as care plans and risk assessments needed more information to give staff clear guidance for managing people’s risks.
The provider's recruitment practices required improvement to ensure people were supported by suitable staff. Medication management records needed improvement to ensure they included detailed guidance for staff.
Staff adhered to infection control procedures and protected people from the risk of infection. Staff were knowledgeable in safeguarding adults procedures. Relatives we spoke with said people were safe with the care and support of staff.
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 were caring, respectful and they involved people in decisions about their care and how they wanted to be supported.
Relatives we spoke with said the service was well managed and staff provided good care. Staff working for the provider told us they felt supported in their role.
The provider was open and receptive to the areas of concern identified in the inspection. After the inspection the provider took immediate action to address some the concerns we found.
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 the service at the previous premises was requires improvement (published 01 May 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have found evidence that the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.
Enforcement
We have identified a breach in relation to good governance. 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 from 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. We will continue to monitor information we receive about the service, which will help inform when we next inspect.