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Julie Blackburn Homecare Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 July 2019

About the service

Julie Blackburn is a care at home service. The service provides personal care to people living in their own homes. Not everyone who used the service received personal care. The Care Quality Commission (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 inspection, nine people were receiving personal care.

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

Risk assessments were not always in place or completed comprehensively to minimise risks to people. People told us staff mostly turned up on time, however there was a lack of monitoring of call attendance and call times.

There was a lack of governance systems in place to monitor and improve the quality of the service. Required records were not always readily available.

People told us they were supported by staff who were knowledgeable. However, staff had not completed all training. Records of staff induction were not kept.

We have made a recommendation about induction and training.

People told us they felt safe with the staff who supported them. People were supported by a consistent staff team.

People received good support to maintain a healthy balanced diet and, where appropriate, the provider worked closely with other health professionals to support people with their health and wellbeing.

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 supported by kind and caring staff who knew them well.

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. The last rating for this service was requires improvement (published 24 July 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection, enough improvement had not been made/sustained and the provider was still in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a continued breach in relation to governance of the service at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 27 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 27 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 27 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 27 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 27 July 2019

The service was not always well-led.

Details are in our well-Led findings below.