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 supported settings. At the time of our inspection there was one person using the service.
Not everyone who may use this service would receive personal care. Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also would consider any wider social care provided.
People’s experience of using this service and what we found
Due to this inspection being carried out in a relatively short period of time since the service became active, there were several areas the provider was aware needed further development. One person receiving support from the provider was unable to discuss their care with us. However, external professionals closely involved in the person’s care were able to advocate on their behalf and told us care was provided safely. Care had been provided by agency staff as the provider had not yet recruited care staff. We found risk assessments and support plans associated with the provision of people’s care needed further development and did not contain sufficient detail. Recruitment risk assessments had not been implemented where needed. We discussed this with the registered manager who completed up to date risk assessments; however, these needed further development to sufficiently mitigate risks identified. Policies associated with safe support and care were robust and provided clear guidance. We have recommended the provider develops risk assessments associated with the provision of care and recruitment checks.
There were robust systems in place for oversight and auditing, however, there had been no opportunity for these to be used. Policies associated with governance clearly stated the roles and responsibilities of management and staff. An electronic recording system was being implemented and developed at the time of inspection, so we were unable to make any judgements on the quality or effectiveness of this. The provider was open and transparent throughout the inspection, specifically about concerns relating to staffing which prompted this inspection. Administrative staff in the office were not aware of which health and social care professionals could potentially visit or contact the service and they were not clear on what information could be shared. We discussed this with the nominated individual, who explained they were being monitored closely and would be retrained. Care plans required further development and we have recommended the provider ensures these contain detailed person-centred information.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 14 September 2021 and this is the first inspection.
Why we inspected
We received concerns in relation to staffing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We usually inspect all five domains for a service’s first inspection; however, the service only started actively providing support on 15 February 2022 and for this reason we decided to only inspect the areas of safe and well-led.
We have found evidence the provider needs to make improvements. Please see the safe and well-led sections of this full report.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have made recommendations in relation to staffing and care records at this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.