J & K Keycare

Updated 26 October 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. 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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes. There were seven people receiving personal care at the time of our inspection.

The service had a manager registered with the Care Quality Commission. 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 two working days’ notice of the inspection. This was because it is a small service and we needed to be sure the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 8 October 2019 and ended on 9 October 2019. We visited the office location on 8 October 2019.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We 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 sought feedback from the local authority who monitor the care and support people received and Healthwatch Nottinghamshire. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with two people using the service and three relatives of other people using the service. We also visited one person and spoke with them and their relative. We spoke with the registered manager and three support workers. We reviewed a range of records about people's care and how the service was managed. This included three people's care records. We also looked at associated documents including risk assessments. We looked at staff training records and the recruitment checks carried out for new staff employed at the service. We also looked at a sample of the providers quality assurance audits that the management team had completed.

After the inspection

The registered manager provided us with further evidence to demonstrate compliance with the regulations.

Updated 26 October 2019

About the service

J & K Keycare is a domiciliary care agency providing community support and personal care to people living in their own homes in and around Keyworth, Nottinghamshire.

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 visit seven people were receiving the regulated activity, personal care.

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

People felt safe using the service and felt safe with the staff who supported them. Staff were aware of their responsibilities for keeping people safe from harm. Risks associated with the support people required had been assessed, and identified risks were monitored and managed. People were supported with their medicines where required. Staff had received training on medicine management and their competency was assessed. New staff were appropriately recruited and there were enough staff available to meet people’s needs. Staff followed the providers infection control policy and the registered manager made sure that if anything went wrong, lessons would be learned.

People’s care and support needs had been assessed prior to their care package commencing to ensure their needs could be met. Staff had received appropriate training and had the knowledge to enable them to provide care and support in a way people preferred. People were supported to maintain good health, eat and drink well, and were supported to access relevant healthcare services when they needed it.

Staff were kind and caring and treated people with dignity and respect. People were involved in making decisions about their care and their consent was always obtained. 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.

Plans of care had been developed with them and their relatives and these included people’s personal preferences and how they wished their care and support to be provided. People had access to the providers complaints procedure and knew what to do if they were unhappy about anything. Whilst no one was receiving end of life care at the time of our visit, the registered manager was in the process of exploring people’s wishes.

The staff team felt supported by the registered manager and the care manager. People, their relatives and staff were involved in how the service was run through the use of surveys and day to day conversations with the registered manager and the staff team. Monitoring systems were in place, though not always formally recorded. (This was rectified during our visit). The registered manager and care manager worked in partnership with others when required to make sure people received safe care and support.

More information is in the detailed findings below.

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 24 May 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.