Luma Homecare received an overall rating of Requires Improvement at its February 2023 inspection, with a breach of Regulation 17 (Good Governance) due to audit systems failing to identify shortfalls in care planning, recruitment documentation, and PRN medication protocols. Caring, effective, and responsive practices were rated Good, with relatives reporting high satisfaction and a consistent, compassionate staff team.
Concerns (5)
critical
Governance
: “systems in place to assess, monitor and improve the quality and safety of the services provided were not always effective. This was a breach of Regulation 17”
moderateCare planning: “care plans and risk assessments did not give clear and detailed instruction to staff on how to provide safe care and support”
moderateRecord keeping: “application form on file for one member of staff did not record a full employment history and this had not been addressed by the provider”
moderateMedication management: “protocols for when people needed support with PRN (as required) medicines needed more detail...were also not signed or dated”
moderateStaff competency: “references on file were received after the employment start date for both staff”
Strengths
· Staff were caring, respectful and involved people in decisions about their care; relatives described staff as 'more like family'
· Staff adhered to infection control procedures and PPE was used effectively
· Staff were knowledgeable in safeguarding adults procedures
· People's communication needs were met, including support from staff who spoke people's first language
· Pre-service assessments captured medical history, healthcare conditions and care needs
Quality-Statement breakdown (21)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Using medicines safelyRequires improvement
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportNot rated
well-led: Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood