J.A.D Direct Limited

About the service

J.A.D direct is domiciliary care service supporting people to live independently in their own houses and flats. At the time of our inspection 5 people were in receipt of personal care.

People’s experience of using this service

Right Support

Recruitment of staff was safe and robust. People could choose how they wanted to spend their time, whether they wanted to be in their own rooms or in a shared living space. Staff supported people to take their prescribed medicines and to access healthcare services when needed. People’s individual risk assessments were reflective of the support they were receiving and took additional measures to keep people safe. Audits and checks identified when some improvements were needed to records or processes. People received safe care and they were supported by staff who knew how to protect them from harm.

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

People had dedicated 1-1 time to ensure opportunities for social engagement took place. Personal care was delivered in people’s own rooms, to ensure privacy and dignity. People were involved in choices around their care and support and were part of the community.

Right Culture

Staff advocated for people to ensure they had equal access to services, such as healthcare and appointments to follow up on any health concerns. Staff told us they liked working at the service and enjoyed supporting people.

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 good (published 20 December 2017)

Why we inspected

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

This inspection was a focused inspection to review the key questions of safe, and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for J.A.D Direct Ltd on our website at www.cqc.org.uk.

Follow up

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

J.A.D. Direct is a domiciliary care agency that provides support to people with learning disabilities and complex needs in their own homes and communities. At the time of the inspection five people were receiving 24 hour care and support through a model of supported living. One person received care and support from their family home.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated Good.

The service met all relevant fundamental standards.

The service had robust systems to monitor and improve people’s safety without restricting their independence. Risk was effectively recorded and subject to regular review in conjunction with the person and other stakeholders. Staff were safely recruited and deployed in sufficient numbers to meet people’s needs in a timely manner.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff were trained to meet the needs of people and supported them to maintain good standards of health and nutrition.

We saw clear evidence that staff knew people well and respected them in the delivery of care and support. People were offered choice and had their independence promoted by the manner in which care was provided. People spoke positively about the approach of the staff and managers.

It was clear from care records and discussions with people that their care needs were met in a personalised way. Each person had different preferences and goals that were reflected in their care records. We saw evidence that staff had been successful in supporting people to achieve their goals. For example, in relation to securing work placements to improve skills and confidence.

People spoke positively about the management of the service and the approachability of senior staff. The service had a clear vision to provide high-quality, person-centred care.

J.A.D. Direct had a robust performance framework which helped to clearly define roles and responsibilities. A substantial and regularly updated set of policies and procedures provided guidance to staff regarding expectations and performance.

We saw evidence that the service worked effectively with other health and social care agencies to achieve better outcomes for people and improve quality and safety. The health and social care professionals that we spoke with were complimentary about the quality and effectiveness of these relationships.

Further information is in the detailed findings below.

We saw that people were involved in the planning and review of their care and support. People were given opportunities to express their wishes and preferences with regards to how their care and support was provided and how they lived their lives.

We found that people had their medication administered at the right times by staff who had received appropriate training. Medication was stored and recorded safely and staff had important information about medication such as why it was prescribed and possible side effects.

People told us they liked the staff who provided their care and support and that the staff knew their needs and met them well. We found that staff had been provided with all the training they needed to do their job and that they were well supported by their manager.

People told us they had access to their records and that they understood them. Staff had a good understanding of record keeping and the importance of ensuring people's confidentiality.

"I really like the staff, they are helpful and kind".

"The staff listen to me and help me with things I can't do on my own".

People received care and support appropriate to their needs and which ensured their safety.

People had been protected from the risk of abuse and staff were confident about dealing with incidents which may occur. People using the service told us they felt safe in the care of the staff and if they were worried about the way they were treated they would tell somebody.

Strict recruitment procedures had been followed to ensure staff with the right skills, knowledge and experience were employed to work for the agency.

People had been given information about how to complain and they told us they would complain if they needed to. They said they were confident that their complaint would be listened to and dealt with in the right way.