JSS Homecare Ltd

Updated 12 January 2023

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 team consisted of one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. The nominated individual is currently managing the service until a new registered manager is appointed.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be in the office to support the inspection.

Inspection activity started on 14 November 2022 and ended on 2 December 2022. We visited the location's office on 15 and 28 November 2022.

What we did before the inspection

We reviewed information we had received about 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/communicated with one person and two family members about their experience of the care provided. We spoke/communicated with the nominated individual, care-coordinator and two care staff.

We reviewed a range of records. This included three people's care records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including quality monitoring and staff training.

Updated 12 January 2023

About the service

JSS Homecare Ltd is a domiciliary care agency providing personal care and support to people living in their own homes. 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. At the time of the inspection three people were receiving personal care from the service.

People’s experience of using this service and what we found

Systems were in place to promote people's safety and minimise any identified risks. However, not all risks had been assessed as detailed within the providers policies and procedures. We did not find these shortfalls had impacted on people's care.

People had care plans in place. However, some of the information within these was limited and lacked person-centred detail and guidance for staff.

Care staff had access to training, however this did not cover all the areas required to ensure they had the right skills and knowledge to support people who used the service. There were no records to demonstrate that staff competency had been assessed.

Quality assurance systems were not fully effective and did not highlight all the concerns we found during this inspection.

The provider responded to our inspection feedback and was open to making improvements to the service. The provider began actioning feedback during the inspection.

People had an initial assessment prior to them receiving a service. This captured their needs, abilities and preferences.

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.

There were enough staff to support the number of people they visited. The nominated individual was keen to ensure new packages of care were only taken on if there were enough staff to support this. Staff were recruited in a safe way because checks were carried out before employment was offered.

Staff received safeguarding training and knew how to protect people from the risk of abuse, harm and neglect. People received safe support when taking their medicines.

People had access to healthcare professionals such as GP's and community nurses.

Infection control procedures and measures were in place to protect people from infection control risks associated with COVID-19.

People, staff and relatives spoke positively about the service. One person told us, “I have perfect confidence in their hands." A relative told us “Nothing is too much trouble."

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

This service was registered with us on 13 September 2021 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 made recommendations in relation to risk management, quality assurance and staff training and support.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.