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.