J S Parker Limited North East Also known as javascript:{App().GotoView("Sub Account Detail - Sub Accounts View", "", "/epublicsector_oui_enu/sta

Updated 27 February 2020

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. 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 conducted 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.

Service and service type

J S Parker Limited North East is a case management and rehabilitation service. The Care Quality Commission (CQC) only inspects the part of the service which provides 'personal care'. Where a person receives personal care such as physical help or any supervision and prompting to carry out daily living tasks themselves, we also consider any wider social care provided. At the time of this inspection, 18 adults and children received personal care.

The service organises personal care and support to adults and families of children with brain and spinal injuries. This includes recruiting, training and supporting staff who provide personal care. In addition, they offer other therapy services, advice and guidance. This aspect of the service is not regulated by CQC.

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

This inspection was unannounced. Inspection site visit activity started on 24 January 2020 and finished on 27 January 2020. We conducted telephone calls to people and relatives on 28 and 29 January 2020.

What we did before the inspection

We reviewed any information we had received about the service since the last inspection. We contacted local authorities who work with the service for information. We also checked records held by Companies House. We used this to plan our inspection.

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.

During the inspection

We spoke with one person, 14 relatives and one person’s representative about their experiences of the care provided. We spoke with the registered manager, two case managers and a training manager. We also spoke with two representatives from the provider organisation, including the quality and compliance manager and the clinical director.

We reviewed three people’s care records in detail and aspects of others. We looked at the information kept regarding the management of the service. This included three staff files and records related to the quality and safety of the service.

After the inspection

We reviewed additional evidence submitted to us by the registered manager. We contacted 10 members of care staff and 25 external professionals We received seven staff responses and six professionals’ responses. Their feedback supported our findings.

Updated 27 February 2020

About the service

J S Parker Limited North East is a specialist brain and spinal injury case management and rehabilitation service. They offer assessment, case management, therapy services, staff training and support to adults and children with very complex care needs who live in their own home.

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

People received a tailor-made service from an exceptionally well-led team of staff. The registered manager and staff were extremely passionate and committed to providing high-quality, person-centred care.

The registered manager exhibited very strong leadership skills and excelled within the organisation to achieve consistently high standards. The service had continued to develop and improve. The organisation fully supported the service and demonstrated a solid corporate approach to driving up industry standards. Audits and checks were fully embedded into the service to monitor quality and safety.

People had accomplished remarkable goals and outcomes through outstanding support from staff. People lived fulfilled lives which were enriched by a huge variety of hobbies, activities and educational opportunities. People were supported to have maximum choice and control of their life and was supported in the least restrictive way possible.

Staff fully embraced the person-centred culture of the organisation and demonstrated exceptionally caring values. They were reliable, consistent and deeply dedicated to caring for people. Subsequently, people received a unique service which met all their needs and exceeded the expectations of their relatives and other professionals.

People had timely access to professional therapists to improve their health and well-being and promote independence. Staff worked in excellent partnership with other services to provide people with a unified service.

Case managers supported people to recruit their own staff. Carefully selected teams of well trained and extremely competent staff supported people to live their lives to the fullest. The recruitment process was safe, and staff benefitted from training which was individually designed to suit each person’s needs.

People were kept very safe. Positive risks which enhanced people’s quality of life were strongly encouraged. Robust measures were in place to reduce any potential risks. Staff proactively recognised areas of risks and signs of abuse and reported any concerns to the registered manager with confidence. Safeguarding policies and procedures were in place.

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

Rating at last inspection

At our last inspection this service was rated requires improvement (published on 30 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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