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Inspection Summary


Overall summary & rating

Good

Updated 23 August 2019

About the service

JM Carehomes Limited is a domiciliary care service which offers personal care and assistance to support people living in supported accommodation. The service supports people over 11 houses in the community and at the time of our inspection there were 40 people using the service.

The service has been developed and designed in line with the principles and values of Registering the Right Support and good practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning difficulties and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People were safeguarded from the potential of harm and their freedoms protected. Potential risks to people had been assessed and managed appropriately by the registered manager. People received their medicines safely and as prescribed and people were supported by sufficient numbers of staff to ensure that risk of harm was minimised.

Staff had been recruited appropriately and had received relevant training, so they were able to support people with their individual care and support needs. Staff received supervision and a yearly appraisal to support them to develop their careers and provide the support people required.

Staff sought people’s consent before providing care and support. 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 were treated with understanding, kindness and compassion. People’s rights to privacy were respected by the staff who supported them to maintain their dignity. People were supported to express their views and encouraged to be actively involved in making decisions about their care and support needs.

Each person had a care plan based upon an assessment of their needs which was regularly reviewed. The care plan included personal details about the persons choices for food and how they wished to live and be supported. People using the service were aware of the complaints process and were confident about approaching the registered manager and senor staff if they needed to.

There were effective auditing systems in place to monitor the quality of service provision. The views of people on about the service was gathered and used to support service development. The service worked closely with other professionals to support people using the service.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive interv

Inspection areas

Safe

Good

Updated 23 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 23 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 23 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 23 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 23 August 2019

The service was well-led.

Details are in our well-Led findings below.