# Luna 3-6-5 Healthcare Services Ltd

Luna 3-6-5 Healthcare Services Ltd is a CQC-regulated home-care agency in Wells.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Requires improvement |
| Well-led | Requires improvement |

Rating published: 07/03/2023

## Practical info

- Postcode: BA5 2PJ
- Registered manager: Nkiwane, Dumoluhle
- Local authority: Somerset
- Region: South West
- City: Wells
- Last CQC check: 07/Mar/2023 - 00:00

## Inspection findings

### caring

- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2023-04-19
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity; Respecting and promoting people's privacy, dignity and independence
  - Published: 2023-04-19

### effective

- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-04-19
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-04-19
- Finding
  - Staff working with other agencies to provide consistent, effective, timely care
  - Published: 2023-04-19
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-04-19
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-04-19

### Other

- Finding
  - Evidence: People's faiths, religious beliefs, likes, dislikes, and preferences were identified and included in care plans.
  - Published: 2023-04-19
- Finding
  - Evidence: Staff had received mandatory training including safeguarding, medication, infection control, moving and handling, and first aid.
  - Published: 2023-04-19
- Finding
  - Evidence: Partnership working with other professionals such as GPs and district nursing teams was evidenced.
  - Published: 2023-04-19
- Finding
  - Evidence: People's communication needs were assessed and detailed within care plans.
  - Published: 2023-04-19
- Finding
  - Evidence: DBS checks were completed before staff started work, and agency staff recruitment promoted safety.
  - Published: 2023-04-19
- Finding
  - Evidence: The registered manager demonstrated a desire to improve, bringing in a consultant and responding to inspector feedback.
  - Published: 2023-04-19
- Finding
  - Evidence: Staff knew people well and provided consistent care; people had the same care workers regularly.
  - Published: 2023-04-19
- Finding
  - Evidence: People and relatives consistently described staff as kind, caring, and respectful of privacy and dignity.
  - Published: 2023-04-19
- **person_centred_care** _(moderate)_
  - Evidence: one person's care plan states they were living with diabetes with no further detail regarding the support required in relation to this.
  - Published: 2023-04-19
- **missed_or_late_visits** _(minor)_
  - Evidence: one person and their relative raised a concern that staff were often late. This was raised with the registered manager during the inspection.
  - Published: 2023-04-19

### responsive

- Finding
  - End of life care and support
  - Published: 2023-04-19
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-04-19
- Finding
  - Supporting people to develop and maintain relationships to avoid social isolation
  - Published: 2023-04-19
- Finding
  - Meeting people's communication needs
  - Published: 2023-04-19
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2023-04-19

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-04-19
- Finding
  - Staffing and recruitment
  - Published: 2023-04-19
- Finding
  - Using medicines safely
  - Published: 2023-04-19
- Finding
  - Assessing risk, safety monitoring and management; Preventing and controlling infection
  - Published: 2023-04-19
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-04-19

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-04-19
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-04-19
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-04-19

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-11977151299

HomeCare Compass is an independent guide and is not affiliated with the CQC.