About the service Melburay Limited is a domiciliary care service which provides personal care to people living in their own homes. CQC only inspects where people receive support with 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 there were four children receiving personal care support.
People’s experience of using this service and what we found
Not all people understood how to make a complaint. We have made a recommendation about ensuring people understand the complaints policy. The provider had not produced information for or about people in accessible formats. We have made a recommendation about this.
Risks to people’s health and wellbeing were identified and effective measures put in place to mitigate these. Staff had a good understanding of safeguarding and whistleblowing procedures and knew how to report any concerns they had with people’s safety. The provider followed safe recruitment processes. There were safe infection control procedures to reduce the risks associated with the COVID-19 pandemic.
People’s health and social care needs were assessed, and plans put in place to meet these. Staff were given information and training about people’s medical conditions and health needs. People were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff received induction, training and ongoing support to fulfil their role.
There were systems in place to monitor and assess the quality of the service. The provider had plans to further improve and develop the service.
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 statutory guidance which supports CQC 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 the underpinning principles of Right support, right care, right culture. Improvements were required in relation to care plans and care records.
Right support:
• People told us they received the care and support they needed. However, care plans did not always contain sufficient detail about people’s care choices and preferences. Care records were not always person-centred. We have made a recommendation about making care plans and records person-centred.
Right Care:
• People told us the staff were kind and caring and knew them well. People were treated with dignity and respect and they were supported to learn and maintain daily living skills.
Right culture:
• People told us they received the care and support they needed, and managers regularly checked on them to make sure they were happy with their service.
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 April 2020 and this is the first inspection.
Why we inspected
This was a planned inspection to provide a rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.