Background to this inspection
Updated
11 July 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by an inspector from the Care Quality Commission (CQC).
Service and service type:
The service provides domiciliary care to people in their own homes. The service is provided to people of all ages.
The service had a manager registered with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave the service 48 hours’ notice of the inspection visit. This was because the service is community based and we needed to ensure staff would be available to support the inspection.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We sought feedback from other external agencies such as local safeguarding and quality teams and no serious concerns were shared with us.
We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection:
We spoke with the registered manager, clinical director, quality and training manager, a case manager and support worker. We also spoke with three clients and three support workers by telephone.
We reviewed four care plans and associated documentation and three staff files in relation to recruitment and supervision records. Multiple records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider were reviewed during and after the inspection.
Updated
11 July 2019
About the service:
JS Parker Limited is a brain injury case management, rehabilitation and support service that provides support and care to people of all ages living in their own homes.
The service is registered with the Care Quality Commission for the regulated activity of ‘personal care’. At the time of this inspection, a total of 45 people used the service. However, only five people were in receipt of support that included personal care.
People’s experience of using this service:
Throughout this report we refer to people who used the service as ‘clients.’ This is because people preferred this terminology when describing their relationship with JS Parker Limited.
The service benefited from a long-standing and highly experienced registered manager. They were well supported by a dedicated and enthusiastic multidisciplinary team.
Clients were given every opportunity to be valued and equal partners in decisions around their care and support. This was reflected in the good quality care and support people received from a committed, passionate and caring group of staff.
Due to the nature of the service provided, a range of professionals had been involved in a client’s journey from the point of first referral. This included solicitors, health and social care professionals and the criminal or civil courts. This meant detailed assessments of need had been completed from a very early stage.
A comprehensive and inclusive approach to support planning meant key information about people's lives, their individual identity, culture and what was important was captured to good effect. This meant support and other activities could be tailored to meet client’s individual likes, dislikes and personal preferences.
Staff were effective in their roles and sought the best outcomes for the clients they supported. The service benefited from a range of in-house professional expertise which meant a responsive level of training and continuous development was provided in line with the needs of clients and developments in best practice.
A service was provided to both adults and children. Support plans and associated records had been tailored and adapted to client’s individual needs. Reviews and evaluations were conducted on a regular basis and/or in response to a change. Relevant persons had been involved and their views documented.
There was a well-established and fully embedded governance framework in place. Systems and processes for audit, quality assurance and questioning of practice were highly effective.
Rating at last inspection:
At the last inspection the service was rated ‘Good.’ (published 21 October 2016).
Why we inspected:
This was a planned routine inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk