Mobelle Home Care Limited received an overall Good rating at its March 2020 inspection, with staff delivering kind, safe and consistent care to 8 personal care recipients. Well-led was rated Requires Improvement for the second consecutive inspection due to ineffective audit systems failing to identify gaps in care planning, end-of-life documentation, capacity records and employment histories.
Concerns (6)
moderate
Care planning
: “People's care plans and support documents were not consistently person centred and did not always provide detailed information on how to meet people's care needs, preferences and choices.”
moderateEnd-of-life care: “People did not have end of life care plans in place to ensure they receive personalised care in line with their choices at the end of their life.”
moderateGovernance: “Audits within the service were not clear and did not identify the areas for improvement we found during inspection. The provider's current audits did not cover people's care records.”
moderateRecord keeping: “There were multiple areas of recording which needed improvement in the service this including end of life plans, capacity assessments, care records and staff members employment history.”
minorConsent / capacity: “Some of the records were unclear and needed review. We recommended the provider reviews their current consent and capacity forms to ensure a clear capacity assessment and best interest record is in place.”
minorStaff competency: “We found some members of staff had incomplete or gaps in their employment history. The registered manager took swift action to address this during the inspection.”
Strengths
· People felt safe and staff were trained to recognise and report abuse with clear escalation processes.
· Medicines were administered safely with staff trained and competency-checked, and spot checks conducted by the registered manager.
· People and relatives praised staff as kind, compassionate, and consistent, describing the service as 'amazing'.
· Staff supported people to maintain independence and dignity, respecting privacy and individual preferences.
· Complaints were handled promptly and to people's satisfaction, with regular check-ins by the management team.
Quality-Statement breakdown (24)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
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
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: End of life care and supportRequires improvement
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffRequires improvement
Mobelle Home Care Limited was rated Good overall following a June 2017 inspection, with strong person-centred care, consistent staffing, and robust recruitment and training practices. The sole area of Requires Improvement was Well-Led, due to the registered manager's lack of awareness of their duty to submit statutory notifications to the CQC.
Concerns (3)
moderateGovernance: “The manager was not fully aware of their responsibilities under their registration. They had also not reviewed the provider policies in relation to reportable incidents.”
moderateIncident learning: “The provider was not aware of their duty to notify the CQC when incidents occurred.”
minorCare planning: “Where a person had been identified as being prone to falls, a detailed falls risk assessment was not put in place to assist staff in supporting the person safely.”
Strengths
· Staff demonstrated good understanding of safeguarding and knew how to recognise and report concerns
· Robust recruitment process including DBS checks, reference checks and full employment history verification
· Consistent staffing with people supported by the same group of carers
· Comprehensive medicines administration records with detailed instructions and ongoing competency assessment
· Person-centred care plans that were regularly reviewed and updated to reflect changing needs
Quality-Statement breakdown (18)
safe: Risk assessmentsGood
safe: SafeguardingGood
safe: Staffing levelsGood
safe: Medicines managementGood
safe: RecruitmentGood
effective: Staff training and competencyGood
effective: Supervision and supportGood
effective: Consent and Mental Capacity ActGood
Health and wellbeing support
effective:
Good
caring: Kindness and compassionGood
caring: Dignity, privacy and independenceGood
caring: Involvement in care decisionsGood
responsive: Care planning and assessmentGood
responsive: Flexibility and person-centred responseGood