Springs Of Joy Care Solution (SOJ) C.I.C

Updated 26 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 22 May and 4 June 2018. Our visit, carried out on the first day was announced. Telephone calls to the people using the service were carried out on the first day of our inspection and telephone calls to staff members were carried out on the second day. The inspection was carried out by one inspector 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. Their area of expertise was older people with dementia.

Before the inspection, the provider completed a Provider Information Return [PIR]. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We also reviewed information we held about the service such as notifications, these are events which happened in the service that the provider is required to tell us about.

We contacted the health and social care commissioners who monitor the care and support of people receiving care from Springs of Joy Care Solution (SOJ) C.I.C to obtain their views of the care provided. We also contacted Healthwatch Nottinghamshire, the local consumer champion for people using adult social care services to see if they had any feedback. We used this information to inform our judgement of the service.

At the time of our inspection there were 25 people using the service. We were able to speak with eight people on the telephone and visited two people in their own homes to gather their views of the service.

During our visit to the office we spoke with the provider who was also the registered manager and the care coordinator. One support worker was spoken with during a visit to a person’s home and four support workers were contacted by telephone following our visit to enable us to gather their views of the service.

We reviewed a range of records about people’s care and how the service was managed. This included three people’s plans of care. We also looked at associated documents including risk assessments. We looked at records of meetings, recruitment checks carried out for three support workers and the quality assurance audits the management team had completed.

Updated 26 June 2018

This was our second comprehensive inspection of Springs of Joy Care Solution (SOJ) C.I.C. The visit was announced and was carried out on 22 May 2018. The provider was given notice because the location provides a domiciliary care service. We needed to be sure that someone would be in the office. The service provided domiciliary care and support to people living in and around Nottingham. At the time of our inspection there were 25 people using the service.

Not everyone using Springs of Joy Care Solution (SOJ) C.I.C received the regulated activity; personal care. CQC only inspects the service being received by people provided with personal care, help with tasks related to personal hygiene and eating. Where they did we also took into account any wider social care provided.

At the last inspection in January 2016 the service was rated overall ‘Good’ with a Requires Improvement rating in the Safe domain. At this inspection, we found improvements had been made in the Safe domain and the service was rated overall ‘Good’. Evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe using Springs of Joy Care Solution (SOJ) C.I.C and felt safe with the staff team who provided their care and support. Support workers had received training in the safeguarding of adults and were aware of what to look out for and what to do if they were concerned for anyone.

The needs of the people using the service had been assessed. Risks associated with people’s care and support had been identified and managed and lessons were learned when things went wrong to continually improve the service.

Appropriate checks had been carried out for staff wishing to join the service. Once employed, support workers had been provided with an induction into the service and relevant training had been completed to enable them to appropriately support the people using the service.

People felt there were enough support workers suitably deployed to meet their current care and support needs. Staffing rotas reflected appropriate numbers of support workers were available.

Support workers had received training in the safe management of medicines and where people required support with their medicines, this was provided as directed by their GP and in a safe way.

People were protected by the prevention and control of infection. Appropriate training had been provided and protective equipment such as disposable gloves and aprons were used.

Plans of care had been developed for the people using the service and these included their likes and dislikes and personal preferences. The staff team knew the needs of the people they were supporting well.

People were supported to maintain good health. They were supported to access relevant healthcare services and they received on-going healthcare support. People who required support at mealtimes were supported to have enough to eat and drink to keep them well.

There was an end of life policy in place and this showed the staff team how to provide quality care for people as they approached the end of their life.

The staff team had received training on the Mental Capacity Act 2005 (MCA) and always obtained people's consent before they provided their care and support. The management team and the support workers we spoke with understood the principles of the MCA.

People told us the staff team were kind and caring. They told us support workers treated them with respect and their dignity was maintained when receiving their care and support.

The staff team felt supported by the provider/registered manager and the management team. They explained they were given the opportunity to meet with them regularly and there was always someone available to talk to if they had any concerns or suggestions of any kind.

People using the service and their relatives and friends had the opportunity to share their views on the service they received. This was through visits to people’s homes and through the use of surveys. The staff team also had an opportunity to share their thoughts of the service. This was through attendance at team meetings and individual supervision meetings with a member of the management team.

The provider/registered manager and the management team monitored the service being provided to make sure people received the safe care and support they required. A business continuity plan was in place for emergencies or untoward events.

The provider/registered manager was aware of their registration responsibilities including notifying CQC of significant incidents that occurred at the service.

Further information is in the detailed findings below.