Sheila-Jeans Home Care Limited

Updated 28 July 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 was completed by 1 inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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. The registered manager is also the owner and nominated individual of Sheila-Jeans Home Care Limited. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

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 registered manager would be in the office to support the inspection.

Inspection activity started on 21 June 2023 and ended on 23 June 2023. We visited the location’s office/service on 21 June 2023.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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. We used all this information to plan our inspection.

During the inspection

We spoke with 3 members of staff including the registered manager and support workers. We spoke with 2 people who use the service and 3 relatives by telephone.

We reviewed a range of records, including 2 people’s care and medication records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance, complaints and safeguarding were reviewed.

Updated 28 July 2023

About the service

Sheila-Jeans Home Care Limited is a domiciliary care agency. It provides personal care to people living in their own homes. 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. At the time of our inspection, the service was providing support to 2 people who received support with the regulated activity ‘personal care’.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

People’s experience of using this service and what we found

Staff were safely recruited and received the training they needed for their role. We have made a recommendation to record all staff competency assessments and completed training.

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 did not always support this practice. All people currently supported had the capacity to consent to their care and support. We have recommended a formal capacity assessment is used to record people’s capacity for specific decisions.

People and their relatives were very positive about the care and support provided by Sheila-Jeans Home Care. A relative said, “[Name’s] had other carers; they were absolutely not a patch on Sheila Jeans.”

Staff were positive about working for the service and felt well supported by the registered manager. People were supported by consistent staff who knew their needs well.

Care and support plans identified peoples support needs, provided guidance for meeting their needs and managing identified risks. People and their relatives had been involved in agreeing and reviewing the care and support plans.

People were supported to maintain their health and nutritional needs where applicable. People were supported to take part in local and cultural activities where this was part of the agreed support.

Care plans and medicines administration records were reviewed by the registered manager. Communication between people, their families, the staff team and the registered manager were good. Any issues raised were resolved.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 23 June 2022, and this is the first inspection.

Why we inspected

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

Recommendations

We have made 2 recommendations for the recording of staff competencies and training and people’s capacity to make specific decisions.

Follow up

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