Jays Homecare Limited

Updated 16 August 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

This inspection was carried out by one inspector and two Experts 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.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

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 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 29 July 2019 and ended on 31 July 2019. We visited the office location on the 29 and 30 July 2019. On 30 and 31 July 2019 we spoke with people and relatives.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included formal notifications that the service had sent to CQC. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. 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. We used all of this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and eight relatives about their experience of the care provided. We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with eight members of staff including the registered manager, senior care co-ordinator and six care workers.

We reviewed a range of records. This included nine people’s care records and five people’s medication records. We looked at five staff files in relation to recruitment and staff supervision. We also reviewed records relating to the management of the service, including quality assurance records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and staff rotas.

Updated 16 August 2019

About the service

Jays Homecare Limited is a domiciliary care service providing the regulated activity of personal care to people living in their own homes. At the time of this inspection the service was supporting 70 people.

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.

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

People and relatives we spoke with told us that they felt safe and comfortable when receiving care from their allocated care staff member.

People and relatives were positive about the support they received and described their carers as, “fantastic”, “marvellous”, “well-trained” and “friendly.”

Care staff knew how to safeguard people from any form of possible abuse and the actions they would take to report their concerns.

Care plans contained comprehensive risk assessments. These gave clear information to care staff about people’s identified risks, how this affected them and how to support people to reduce or mitigate those know risks in order to keep them safe from harm.

Processes were in place ensure that people received their medicines on time and as prescribed.

Staff recruitment processes ensured all staff recruited were assessed as safe to work with vulnerable adults. People and relatives told us that staff were generally on time and that where they were running late they were always informed of this.

Care staff received an induction, regular training, supervision, appraisals and support which enabled them to carry out their role effectively.

People were supported with their nutrition and hydration where this was an identified need.

The service supported people to access health and care services where required.

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.

Care plans were person centred and detailed, giving staff clear information about the person and how they wished to be supported.

Complaints were recorded, investigated and responded to according to the provider’s complaints policy.

We have made a recommendation in relation to planning for end of life care.

People and relatives were encouraged to give feedback regularly about the quality of service that they received from Jays Homecare Limited.

The service carried out a variety of checks to monitor the quality of care people received so that appropriate actions and learning could be taken forward to improve people's experiences.

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 19 January 2017)

Why we inspected

This was a planned inspection based on the previous rating.