Care Just 4U

Updated 21 November 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 one inspector.

Service and service type:

Care Just 4U is a domiciliary care agency providing personal care for people living in their own homes.

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. For this service, the provider was also the registered manager.

Notice of inspection:

We gave a short notice period of the inspection because it is a small service and the manager is often out of the office supporting staff or providing care. We needed to be sure they would be in.

Inspection site visit activity started on 4 October 2019 and ended on 15 October 2019. We visited the office location on 7 October 2019 to see the manager and staff; and to review care records and policies and procedures.

What we did before the inspection:

Prior to inspection, we reviewed the information we held about the service, including notifications of events the service is required by law to send us. We checked records held at Companies House.

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 information provided by the provider was used to plan our inspection and considered when we made judgement in this report.

During the inspection:

We spoke with the registered manager, care co-ordinator, four staff, three people who used the service and six relatives about their experience of the care provided.

We reviewed a range of records. This included four people’s care records and medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection:

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one healthcare professional who regularly liaised with the service.

Updated 21 November 2019

About the service: Care Just 4U is a domiciliary care agency providing personal care to people in their own homes. At the time of inspection, they were providing care to 22 people.

People’s experience of using this service:

People appreciated receiving care from regular staff who were appropriately trained. People told us, “I have regular staff, they are all lovely. They are skilled and respectful” and, “Staff always turn up, no missed calls.” One relative told us, “Staff are absolutely brilliant, we have the same staff, they are so good with my [relative].”

People and relatives using the service felt safe and said they would report any concerns to the registered manager, and were confident they would take the appropriate action. Staff wore uniform and carried photographic identification. New staff were introduced to people by regular staff, so they could be confident who was visiting.

Staff received an induction programme and training from appropriately qualified trainers. Supervision and observational supervision in the person’s home were carried out by the registered manager or care co-ordinator to monitor the standard of practice.

Care plans were person-centred and contained risk assessments, providing staff with clear guidance for effective care delivery.

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.

People were supported where necessary to take their medicines. Staff were trained in infection control procedures and were supplied with enough gloves and aprons to carry out their role safely to prevent cross infection.

Oversight of the service was undertaken by the registered manager and the care co-ordinator through working alongside staff and carrying out spot checks. This gave an opportunity for people and their relatives to speak directly to the management team.

Rating at last inspection: Good (published 5 April 2017)

Why we inspected: This was a scheduled comprehensive inspection.

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.

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