Leafield JD Limited

Updated 5 August 2023

The inspection

We carried out this performance review and assessment under Section 46 of the Health and Social Care Act 2008 (the Act). We checked whether the provider was meeting the legal requirements of the regulations associated with the Act and looked at the quality of the service to provide a rating.

Unlike our standard approach to assessing performance, we did not physically visit the office of the location. This is a new approach we have introduced to reviewing and assessing performance of some care at home providers. Instead of visiting the office location we use technology such as electronic file sharing and video or phone calls to engage with people using the service and staff.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

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

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 a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

What we did before inspection

We sought feedback from the local authority and professionals who work with 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

This performance review and assessment was carried out without a visit to the location’s office. We used technology such as telephone calls to enable us to engage with people using the service, and electronic file sharing to enable us to review documentation. The inspection started on the 18 July and ended on the 20 July 2023.

After the inspection

We spoke with the registered manager and 7 support staff. We spoke with 3 people and 2 relatives for their feedback. We reviewed 2 people's care plans and risk assessments. We reviewed staff records in relation to training, and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We continued to seek clarification from the registered manager to validate evidence found.

Updated 5 August 2023

About the service

Leafield JD Limited is a case management service providing comprehensive, person-centred case management service to adults with complex needs. Case managers work with people to set up and coordinate their rehabilitation, care, and support needs. Leafield JD Limited oversee the training and performance management of support workers employed directly by the people using the service. At the time of our inspection there were 5 people using the service.

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

The provider has systems and processes in place to monitor the quality and safety of the service. We found that medicines audits needed to be strengthened and we made a recommendation about this.

The provider had processes to safeguard people from the risk of abuse. Staff were knowledgeable about safeguarding and knew how to act on concerns. Relatives told us they felt that their relative was safe. Appropriate staff were employed and there were enough staff to support people.

People and their relatives were fully involved in the recruitment process and had access to experienced case managers who were qualified health and social care professionals. Risks associated with people's care had been identified and assessments were in place to minimise risks occurring.

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 received care and support from staff who knew them well and understood their needs and considered their preferences. People were supported to achieve their goals and there was a strong focus on rehabilitation and increasing independence. Staff worked in partnership with health professionals to ensure people received the right care and support.

Staff at all levels worked hard to promote a culture that was person centred and inclusive. Staff told us should they have any concerns about poor practice they would feel confident to raise them and for their concerns to be acted upon.

People and relatives spoke positively of the staff team and registered manager. Staff supported people to explore and embrace their identity and provided care that was sensitive to equality and diversity.

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

Rating at last inspection This service was registered with us on 9 March 2022, and this is the first inspection.

Why we inspected

This was a planned inspection.

Recommendations

We have recommended that the provider strengthens some of their governance systems.

Follow up

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

This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.