During an assessment under our new approach
Date of assessment: 28 April to 12 June 2025. This assessment was prompted by information of concern received in relation to staffing, visit timing, and management. JC Healthcare Ltd is a homecare agency that provides personal care to people in their own homes. At the time of our assessment, 179 people were supported by the service, not all of those people were receiving the registered regulated activity of personal care. The service specialises in supporting people under and over 65 years old, living with dementia, physical disabilities and/ or learning disabilities.
An assessment has been undertaken of a service that is used by autistic people or people with a learning disability but is not registered as a specialist service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
At our last assessment, we rated the service outstanding. At this assessment, the rating has changed to requires improvement.
We identified 4 breaches of regulation in relation to person-centred care, safe care and treatment, consent and governance. The provider did not always ensure care records reflected people’s preferences and guidance for staff was not always clear. The provider did not always ensure risks were mitigated as reasonably practicable. The provider did not always ensure they were working in accordance with the requirements of the Mental Capacity Act 2005. The provider’s systems and processes did not identify the shortfalls we found at this assessment. We have asked the provider for an action plan in response to the concerns found at this assessment.
People and their relatives were positive about the service and the care they received. We saw care and support that was tailored to their needs despite care records not always being complete and clear.
People were supported to have choice and control and to maintain their independence.
The management team were experienced and understood the needs of people using the service.