Background to this inspection
Updated
4 January 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: There was one inspector.
Service and service type: IJB Healthcare Ltd (Heritage Care Romford) is a domiciliary care agency that provides personal care to people in their own homes. CQC only regulates the personal care provided.
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 visit because it is small and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
What we did:
Before the inspection we reviewed:
• The information we already held about this service, including details of its registration.
• Any notifications of significant incidents the provider had sent us.
• We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
On the day of inspection:
• We spoke with the registered manager.
• We reviewed the care records relating to all people who used the service at the time of inspection.
• The recruitment and training records of two staff.
• We checked policies and procedures
• Minutes of team meetings.
• We examined the quality assurance and monitoring systems in place.
After the inspection:
• We spoke with one person using the service by telephone.
• We spoke with one relative of a person who used the service.
• We spoke with one staff member.
Updated
4 January 2019
What life is like for people using this service:
This was our first inspection of IJB Healthcare Ltd and whilst there were only a few people, we saw systems and processes in place to ensure that there was good care and treatment for people using the service. One person told us they were, “Very satisfied” with the service and, “Couldn’t think of any better.”
The provider was aware of what life was like for people using the service as the nominated individual, the person responsible for the regulated activity at the service, was directly involved with the day to day business as they were also the registered manager. They knew the people using the service and had taken on the role of carer at times, so were aware of who people were, their needs and their preferences.
People told us they felt safe using the service. There were good safeguarding systems and process in place and staff had been trained on safeguarding. People had risk assessments to manage the risks to them and these were reviewed regularly. There were adequate staff at the service, all of whom had completed robust recruitment checks. Medicines were administered safely. People were kept safe from the spread of infection. Incidents and accidents were recorded and actions sought when things went wrong.
People’s needs were assessed to ensure the service could meet their needs. Staff received inductions so they knew what they were supposed to be doing in their roles. Staff received training how to do their jobs. They were supervised. People were supported with their meals where appropriate. Staff communicated with each other so that people’s needs could be met. We checked whether the service was working within the principles of the MCA and found them to be compliant. Staff understood the need for people to consent to care and sought permission.
We saw numerous compliments to the service highlighting their good treatment of people. People were supported to be involved in their care and treatment, signing agreement with their care plans. They completed quality surveys so as to express their views and provide feedback about their care. People’s privacy and dignity was respected.
Care plans were person centred. People knew how to make a complaint. Complaints were acted on appropriately by the registered manager. There was no one at the service at the end of their life, though the service had policies and procedures for that undertaking.
People, staff and relatives thought highly of the registered manager and that the service was well managed. There was clear staff structure and staff knew their roles. People provided regular feedback to the service about their care. There were numerous audits and monitoring systems to ensure that the quality of care was maintained at a good standard and continuous improvement sought.
IJB Healthcare ltd met the characteristics of Good in all areas;
more information in Detailed Findings below
Rating at last inspection: This was our first inspection of this service.
About the service: IJB Healthcare Ltd is a domiciliary care agency. It provides personal care to people living in their own houses. It is registered to older people, younger adults, people with sensory impairment, people living with dementia and people with physical disabilities. A small number of people were using the service at the time of our inspection.
Why we inspected: This was a planned inspection based on our scheduling of regulated services.
Follow up: We will continue to monitor intelligence we receive about this service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.