Background to this inspection
Updated
23 December 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats and specialist housing.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 16 November 2022 and ended on 05 December 2022. We visited the location’s office on 16 November 2022.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with relatives to understand people’s experience of care. We spoke with 6 staff including the nominated individual, the registered manager, the compliance officer and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records including care plans and daily records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits and policies and procedures were also reviewed.
Updated
23 December 2022
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. We considered this guidance as there were people using the service who have a learning disability and who are autistic.
About the service
Jessamy Platinum Homecare is a domiciliary care agency providing personal care to younger adults and older people within their own homes and specialised settings. At the time of our inspection there were two people receiving support from the service. However, before the end of our inspection one of these people ended their care due to reasons not related to Jessamy Platinum Homecare.
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.
People’s experience of using this service and what we found
Right Support: The provider had implemented a new care planning system since our last inspection and information recorded was more detailed and specific to individual’s needs. People’s communication needs were recorded in their care plans and guidance was provided to staff on their preferred way of communicating. The provider had ensured staff were recruited safely and in line with the values of the service by carrying out appropriate checks. Staff had a good understanding of how to respect people’s choices, empower people and support them safely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: Relatives praised staff for their caring and compassionate support of people. Staff demonstrated a good understanding of how to respect people’s privacy and dignity and promote their independence. The provider had robust systems in place to manage risks associated with people’s care. Relatives felt care was provided to people safely. The provider wasn’t supporting anybody with medication at the time of our inspection; however, all staff had been trained to administer medication.
Right Culture: The provider had robust quality assurance systems in place. Audits and competency checks to ensure a high quality level of support were regularly completed. Systems to identify areas for improvement were utilised effectively. The provider worked in partnership with external bodies, professionals and relatives to promote a person-centred culture. The provider had recently started to support people with a learning disability and autistic people. They submitted a request for this to be added to their registration, but at the time of our inspection this had not yet been confirmed. The provider had declined to accept new packages of care until they had appropriate staffing levels who demonstrated the necessary skills.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was ‘inspected but not rated’ (published 09 May 2022)
At our last inspection we recommended the service improve their risk assessments, safe recruitment checks and incorporate person centred information into people’s care plans. At this inspection we found improvements had been made.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.