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Inspection Summary


Overall summary & rating

Good

Updated 13 July 2018

This inspection took place on 24 May 2018 and was announced. At our last inspection there was breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014; Good governance. At the last inspection in April 2017 we asked the provider to take action to make improvements and this action was mostly completed.

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community. It provides a service to older adults, people with mental health needs, sensory impairments, and physical disabilities.

Not everyone using JaMax Homecare received a regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection, 40 people received personal care support.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were complimentary about the care provided by staff. They told us staff were kind, and caring, and undertook the agreed care and support tasks without rushing them.

People told us most of their care calls were at the time expected, and staff always stayed the agreed length of time. If care workers were delayed they were informed of this.

The risks related to people’s care were identified and acted on. People’s needs were appropriately assessed and reviewed at pre-arranged intervals or sooner if required.

Medicines were mostly managed safely, however some medicine records did not clearly inform of the medicines administered. When necessary, healthcare services were contacted to ensure people had the healthcare they required.

Where previously agreed, staff supported people to prepare or heat their meals. Some people enjoyed eating takeaway fish and chips, which staff brought to their homes on a pre-arranged basis.

Staff felt supported by management. They were given enough time to undertake their work safely and to meet people’s needs. Management had improved their record keeping and checks of the quality of work provided by staff.

People and staff both felt staff had the skills and knowledge to undertake their work. Staff had received training to support them in their role.

People felt able to complain to the management team if they had concerns. All people who completed the recent quality assurance questionnaire had been positive about the care and support provided by JaMax Homecare.

Inspection areas

Safe

Requires improvement

Updated 13 July 2018

The service remained mostly safe.

Medicines were mostly managed safely, but some medicine records did not provide enough detail about the medicines administered to people. Risks related to people�s care were accurately recorded, identified and acted on.

People told us they felt safe with the staff who supported them. They received care from people they knew, and at the time they expected, and for the agreed length of time.

Recruitment procedures reduced the risk of the provider recruiting unsuitable staff.

Staff knew to use glove and aprons when providing personal care to reduce the risk of the spread of infection.

Effective

Good

Updated 13 July 2018

The service was effective.

Staff had received training to meet people�s specific needs. They felt well supported by management.

Staff understood the importance of receiving people�s consent before undertaking any care tasks.

Staff supported people to prepare food, or heated meals for people to use.

Staff knew the importance of contacting healthcare professionals when necessary to attend to people�s needs.

Caring

Good

Updated 13 July 2018

The service was caring.

People thought staff were caring and kind.

Staff understood how to provide care and support and maintain people�s privacy, dignity and independence.

People's confidentiality was maintained through staff practice, and secure records.

Responsive

Good

Updated 13 July 2018

The service was responsive.

People felt staff knew them well, and met their individual needs.

People and relatives were involved in care reviews and could contact management when changes were necessary.

People felt able to complain to the provider, although only one complaint about the service had been made.

Well-led

Good

Updated 13 July 2018

The service was well-led.

The provider is a partnership. The two partners were committed to providing a service which met people�s needs and provided good care.

Improvements had been made in checks to the quality of records and checks on staff performance.

Staff felt the management team provided them with good support. They thought the registered manager and partners were open, and interested in their views and opinions.

People felt able to contact the management team to discuss their care needs.