Adejom Staffing Care

Adejom Staffing Care is a domiciliary care agency providing personal care and support for people in their own homes. The agency provides care and support for people in the Sittingbourne area of Kent. At the time of our inspection, 29 people were receiving personal care from the agency.

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.

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

We received positive feedback from people who used the service and relatives. A person said, “They are very much on time. They don’t run late.” A relative said, “I am happy with the service.”

The provider had suitable processes in place to safeguard people from different forms of abuse. Staff had been trained in safeguarding people. They were confident that they could raise any matters of concern with the registered manager, or the local authority safeguarding team.

Care plans contained risk assessments, which were appropriately linked to people’s support needs. Processes were in place to identify and reduce any environmental risks to people and care workers.

Staff had received infection control training, staff told us they had a good supply of personal protection equipment and showed they knew how important it is to protect people from cross infection.

People’s needs were assessed prior to receiving a service including the protected characteristics under the Equalities Act.

There were enough staff deployed to meet people’s needs. The provider operated a safe and robust recruitment and selection procedure to make sure staff were suitable and safe to work with people. Staff were skilled in carrying out their role. Trained staff were employed to meet people’s needs. Staff said they were supported by the registered manager.

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 encouraged to make their own choices about everyday matters. People’s decisions and choices were respected.

People were encouraged to raise concerns or make suggestions to improve the service. A person said, “I never have any complaints.”

Staff felt there was an open culture where they were kept informed about any changes to their role. Staff told us the registered manager was approachable and listened to their ideas and suggestions.

The service had effective systems in place to assess, monitor and improve the quality and safety of the services provided.

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

Rating at last inspection and update

The last rating for this service was good (published 08 February 2019).

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding and staffing. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe section of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Adejom Staffing Care on our website at www.cqc.org.uk.

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

This service is a domiciliary care agency. Adejom Staffing Care is a care agency that provides care services to people in their own homes. Not everyone using the service receives a regulated activity of 'personal care.' CQC only inspects the service being received by people provided with ‘personal care’. At the time of inspection, one person was receiving personal care at home.

There was a registered manager employed at the service. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was also the registered provider at the service.

The registered manager held a professional nursing qualification and was registered to practice with the Nursing and Midwifery Council (NMC). They worked alongside their staff to deliver care. The registered manager had an in depth knowledge of how the service was running and got to know people and staff very well.

The registered manager checked staffs' suitability to deliver personal care during the recruitment process. Staff were deployed in line with the agreed times needed to meet the persons assessed needs. Staff received training and supervision and continued to be that matched to people’s needs effectively.

Staff received training about safeguarding and understood their responsibilities to protect people from harm. Staff were encouraged and supported to raise concerns by the registered manager and by the services safeguarding policies, such as whistleblowing. Emergency response contingency plans were in place to limit disruption to care during times of foreseeable events such as extreme weather events.

The person using the service verbally communicated their needs to staff. However, the registered manager was aware of the Accessible Information Standard (AIS) and its requirements to make information available to people in different formats if and when needed.

The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA).

People’s needs were assessed and their needs were recorded. Staff understood the risks to people’s individual health and wellbeing and risks were clearly recorded in their care plans.

Staff received food hygiene training. Where staff supported people with cooking, this was done in liaison with people and their relatives who lived with them.

People, their relatives and health care professionals had the opportunity to share their views about the service.

There were appropriate systems in place to enable people to make complaints. Incidents and accidents were reported and appropriately investigated.

Staff were friendly and caring. Staff consistently demonstrated they shared the provider's vision and values when delivering care.

Staff followed the provider's infection control policy. This had been recorded by the registered manager when they carried out observations on staff.

Staff were not administering medicine at the time of this inspection. However, there was a medicines administration policy that followed published guidance. Staff had been trained to administer medicines. The registered manager had systems ready for the audit of staff administered medicines if needed.

The service was not providing end of life care. However, policies were in place to cover end of life care if needed.

There was no evidence that any notifiable incidents had happened at this service. However, the registered manager understood their responsibility to send statutory notifications to CQC when required.