Background to this inspection
Updated
28 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
This 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.
What we did before the inspection
We reviewed information we had received about the service. 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 three people who used the service, and five relatives of people who used the service. We also spoke with the registered manager, and three care staff members. We looked at care records for four people. We looked at a range of records, including recruitment files for three staff, staff training records and provider’s policies.
Updated
28 June 2022
JMC Care Solutions Limited is a service providing care and support to people in their own homes. At the time of the inspection the service was supporting 16 people with 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
People were not always satisfied with the call timings. People told us they did not always know when staff would be arriving, and this was inconvenient to them. Systems were not in place to ensure people were given an accurate time for staff arrival to provide their care.
Medicine administration records were not always kept up to date and accurate.
Care planning and risk assessment documents did not always reflect the most up to date information on people’s needs. There was not an organised system in place to ensure care planning documents were promptly accessible and easy to find. We have made a recommendation to review the systems in place around care planning.
Staff were recruited safely within the service, suitably trained and understood safeguarding procedures.
People told us that staff were caring and respectful when they were providing care, and they got on well with staff. People’s information was securely stored.
Care plans reflected people’s preferences and likes and dislikes, and staff understood how people preferred to receive their care.
A complaints system was in place and people knew how to use it.
Staff were well supported in their roles and felt they could contact management for help as and when they needed. Staff told us communication was good, and they received equipment they required to do their jobs safely.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 17 October 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the date of registration.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.