Luna 3-6-5 Healthcare Services Ltd

Luna 3-6-5 Healthcare Services Ltd is a domiciliary care agency providing personal care and support to people living 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 five people were receiving personal care from the service.

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

Not all risk in relation to people receiving personal care was assessed. People had care plans in place, however, these did not include clear information to guide staff to provide care and support.

People were at risk of harm due to poor medicines management. There was a lack of information to ensure staff understood when to give medicines which were prescribed 'as and when required'.

Safeguarding and infection control procedures had not always been operated effectively and the provider was not working in line with the principles of the Mental Capacity Act 2005.

Systems and processes for care call monitoring were not effective. One person raised a concern regarding late calls.

Improvements were needed to ensure staff were safely recruited, had a programme of induction and training, and to ensure staff received ongoing support and guidance through supervision and the assessment of their competence to fulfil their role.

The provider had not operated effective systems and processes to assess, monitor and improve the quality and safety of the services. The provider's audits was not always effective.

We discussed these concerns with the provider/registered manager who was responsive to feedback and started making changes to improve the service. A consultant was being used to support these changes.

People’s care needs were assessed before their care package started. People and relatives were involved in this.

People were well treated and supported. Staff knew people and their needs and preferences well and people received consistent care. Staff respected and promoted people's privacy and dignity and supported them to be as independent as possible. People and relatives told us staff were kind and caring.

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 23 November 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to recruitment, medicines management, risk management, safeguarding, assessment and care planning, staffing and the management of the service.

We have also made recommendations in relation to the Mental Capacity Act.

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 to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.