Background to this inspection
Updated
28 November 2023
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 team consisted of 1 inspector, 1 operations manager 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.
This service also provides care and support to people living in 3 ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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 were 2 registered managers in post.
Notice of inspection
The inspection was announced. We gave the service 24 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.
What we did before the inspection
We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
During the inspection
We spoke with 4 people who used the service about their experiences of their care and 8 relatives. We visited 1 person in their supported living setting, with their consent, and spoke with 7 members of staff. This included both registered managers, 1 of which was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with office manager and care staff.
We reviewed a range of records this included 4 people's care records and medicines records. We looked at 3 staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
Updated
28 November 2023
About the service
Jump 2 independence is a domiciliary care agency and supported living service providing personal care to people living in their own homes. At the time of the inspection 44 people were receiving personal care. 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 the service and what we found:
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 or who are autistic.
Right Support
People were safeguarded from abuse and avoidable harm. The provider ensured there were sufficient numbers of suitable staff. People were supported to receive their medicines safely. The provider learned lessons when things had gone wrong. The provider had systems to provide person-centred care that achieved good outcomes for people.
Right Care
The provider assessed risks to ensure people were safe. Staff took action to mitigate any identified risks. People and staff were involved in the running of the service and fully understood and took into account people’s protected characteristics. People were protected from the risk of infection as staff were following safe infection prevention and control practices.
Right Culture
There was a positive and open culture at the service. The provider understood their responsibilities under the duty of candour. The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery. The provider had created a learning culture at the service which improved the care people received. The provider worked in partnership with others.
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.
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 29 March 2019).
Why we inspected
The inspection was prompted in part due to concerns received about people’s safety. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm. Please see the safe and well led sections of this full report.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Jump 2 Independence 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.