We carried out a review of the data available to us about J & M Healthcare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about J & M Healthcare, you can give feedback on this service.
J&M Healthcare is a domiciliary care service registered to provide personal care and support to people within their own homes in the community or within a supported living setting. At the time of the inspection J&M Healthcare was providing personal care and support to three adults living in their own homes only.
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. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Staff knew the people they supported well. There were enough suitably trained and knowledgeable staff to help support people’s care and support needs. People and their relatives told us that staff were punctual to their care call visits and had attended all arranged calls.
Staff had medicines administration spot checks undertaken to review their competencies following their training. Staff did not always follow their training and the medicines policy and procedure to ensure they didn’t put themselves and people at an increased risk of medication errors. The registered manager was aware of the concern and was working to make the necessary improvement.
Staff were encouraged to discuss their performance through supervision. New staff to the service had to complete an induction and potential new staff to the service had checks carried out on them. This helped make sure they were suitable to work with the people they supported.
People and their relatives told us the support from staff made them, or their family member, feel reassured. Staff demonstrated a good understanding of how to keep people safe from harm or abuse. They also knew that they should report any concerns they may have to their registered manager or to external organisations such as the local authority.
Staff had access to an end of life policy and procedure to guide them when supporting a person at the end of their life. This would help the person have as dignified death as possible. Staff had access to information in peoples’ support plans and risk assessments that helped guide them to care and support people safely and effectively. Infection control practices were in place to reduce the risk of cross contamination. Lessons were learnt and shared with staff when things went wrong or there was a risk of this.
Most people did not require the support of staff with their food and drink. Staff helped promote people’s privacy and dignity. Staff also encouraged people and their relatives to be involved in discussions around their care and support needs. People felt listened to and their choices respected.
The registered manager and staff, when required, would work with external health and social care professionals. This would help people to receive joined up care and support. Complaints about the service had not been received but people and their relatives felt confident to raise concerns and feel listened to. People, and their relatives were asked to complete surveys to feedback on the service provided. Staff could enable people to have information in different formats such as large print or pictorial formats to help them access information.
The registered manager sent staff any guidance and legislation updates. This helped support the staff team to work with the most up to date guidance. Staff meetings were held to update staff on people’s care needs and provide updates on guidance and the organisation. Audits were undertaken to monitor the quality of the service provided.
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.
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 20 July 2020 and this is the first inspection.
Why we inspected
This is the first inspection since the service registered with the CQC on 20 July 2020.
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.