J. Nissi Health Care and Medical Rehabilitation Ltd Also known as Regus, Brentwood

Updated 7 June 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

1 inspector carried out the inspection.

Service and service type

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

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

Inspection activity started on 18 April and ended on 24 May 2023.

During the Inspection.

We reviewed the information we held about the provider. The provider was not asked to complete a Provider Information Return (PIR). This is information providers are required to send us annually with key information about the service, what it does well and improvements they plan to make.

During the inspection

We spoke with senior staff. We reviewed a range of records. This included two people’s care records and a range of records relating to service. We were unable to speak with staff or people who had received care.

Updated 7 June 2023

About the service

J.Nissi Health Care and Medical Rehabilitation LTD is a domiciliary care agency. It provides personal care to people living in their own homes. When we announced the inspection, the provider told us they were supporting 2 people. The following week we were notified that all care packages had ceased during the initial inspection stage. As a result, we carried out a targeted inspection.

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

Risks to people had not been assessed and planned for. Medicines were not always managed safely. We have made a recommendation about the management of medicines and assessing risk.

There was limited information recorded within people’s files about their health needs, likes and dislikes and personal preferences. We made a recommendation to the provider to review their assessment process and care plans. Care plans were not person centred and did not record people’s end of life wishes.

We were not assured the provider had effective procedures and paperwork in place to ensure people received safe care and support.

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

Rating at last inspection

This service was registered with us on 31 May 2017 and had periods of dormancy. We have carried out a targeted inspection as the service stopped providing a regulated activity during the inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Recommendations

We made 4 recommendations to the provider, regarding assessing risk, medicine management assessing people needs and providing person centred care.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.