Background to this inspection
Updated
25 December 2021
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.
Service and service type
This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.
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 took place on 25 November 2021 and was announced. The registered manager was given 48 hours' notice of the inspection. This was because it is a small service and we needed to be sure that the
registered manager would be in the office to support the inspection.
What we did before the inspection
Before the inspection, we reviewed the information we held about the provider. The provider had completed the provider information return (PIR) prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people about their experience of care provided and observed how staff interacted with them. We spoke with the registered manager and a care manager. The care manager was expected to take over the role of the registered manager after our inspection.
We reviewed a range of records. This included two people’s care records and a medicine record. We looked at three staff files in relation to recruitment and staff training. A variety of records relating to the management of the service were reviewed.
After the inspection
We spoke with one relative and two care staff. We reviewed feedback we received from social care professionals. We continued to seek clarification from the provider to validate evidence found. We looked at policies and procedures, staff supervision records and the training matrix.
Updated
25 December 2021
About the service
Just In Time Agency JIT Ltd is a supported living setting, so that people can live as independently as possible. The service was provided in one home where people shared communal areas such as a lounge, dining area and kitchen. and bathrooms. Each person had a bedroom with a bath and toilet. Three people were living at the supported living site who needed support with personal care.
People’s experience of using this service
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, Right care, Right culture.
Right support:
Model of care and setting maximises people's choice, control and independence. People could choose the type of care and support they wanted. They had a range of activities available to them and staff promoted their independence.
Right care:
Care is person-centred and promotes people's dignity, privacy and human rights. People received care and support that reflected their individual needs, aspirations and how they wanted to live their lives. Staff respected people's privacy and dignity.
Right culture:
Ethos, values, attitudes and behaviours of leaders and care staff ensure people using the services lead confident, inclusive and empowered lives. There was a relaxed and friendly atmosphere in the service and people and relatives were able to engage with staff who were compassionate and committed to providing quality care.
Pre-assessment of needs were carried out to ensure the service was suitable for people. Care plans and risk assessments were completed and reviewed to ensure people were safe within the service. Staff managed medicines safely. Pre-employment checks had been carried out to ensure staff were safe and suitable to support people. There were enough staff to support people with their needs. People and relatives felt that the service was safe. Staff had training in adult safeguarding and were aware that allegations of abuse must be reported to appropriate authorities. The service had systems in place to prevent and minimise the spread of infections.
Staff had received support and training to perform their roles effectively. 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 had choices of meals and could decide the types of activities to engage in. Staff supported people to have access to healthcare services.
Staff were caring and had a good relationship with people. People were encouraged to be independent and to carry out tasks without support. Staff ensured people's privacy and dignity were respected.
There was a complaints procedure in place and the service met people's communication needs.
Quality assurance and auditing systems were in place to ensure shortfalls were identified and improvements were made.
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 25/09/2018. The service was not rated at our last inspection (report published 12 September 2019).
Why we inspected
This was a planned inspection based on when the service registered with us.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.