Background to this inspection
Updated
11 June 2022
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 Health and Social Care Act 2008.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 9 May 2022 and ended on 13 May 2022. We visited the location’s office on 9 May 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with the provider, care co-ordinator, one person who use the service, one relative and two staff members. We received written feedback from one health and social care professional and two staff members. We looked at care records for three people. We looked at a range of records, including recruitment files for three staff, staff training records and provider’s policies.
Updated
11 June 2022
About the service
JWM Healthcare LTD is a service providing care and support to people in their own homes. At the time of the inspection the service was supporting three people. 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
People’s care plans were not always up to date, and some risk assessments had not been completed. People’s medicine records were not always accurate or fully complete. Quality assurance tools had not always been effective at identifying shortfalls and ensuring improvements were made. Immediately after our inspection the registered manager had reviewed and updated people’s care plans, risk assessments and medicine records to ensure they contained the necessary information and guidance for staff.
The provider had systems designed to safeguard people from the risk of abuse. People were supported to take their medicines, and supported to eat and drink, if this was part of their care plan. Staff had a good supply of personal protective equipment, such as face masks, aprons and gloves.
People, and their relatives, were involved in their need's assessment and the development of their care plans. People’s choices and preferences were documented so staff could deliver person centred care. Care workers completed training identified by the provider as mandatory and received supervision from senior staff which ensured they had the knowledge and skills to provide care in a safe and effective way.
People were supported to have maximum choice and control of their lives and care 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's dignity and privacy was promoted by staff. People were supported in line with their preferences. People were supported with their communication needs. The registered manager liaised with other professional teams to support peoples' needs.
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 28 October 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.