JS Care 4 All Ltd

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.This is the first inspection for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed prior to them receiving care and support, and these assessments informed the development of their care plans. Care plans were reviewed regularly and updated when required to reflect any changes in people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.The provider worked with healthcare professionals, such as district nurses, for people’s skin integrity, when they were at risk of skin breakdown. People were supported, where required with their hydration and nutritional needs. Staff told us they followed recognised good practice guidance when supporting people, including in relation to nutritional needs and managing medical conditions. The provider’s policies and procedures were based on evidence-based practice to support the delivery of safe and effective care.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their inspection of needs when people moved between different services.People told us their information was shared appropriately with relevant professionals, such us GPs or community nurses, to support their care. Staff maintained thorough records of care and support visits, which were shared when required. The registered manager had oversight of care records and was able to access and share relevant information with external professionals when needed. This supported continuity of care for people. We received positive feedback from partner organisations. One external professional told us, “Staff communicate well with professionals and people and give confidence in their ability to provide a good level of support.’’

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. The provider supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to access healthcare services when required, including referrals to relevant professionals. Assessments of people’s care and support needs were in place to guide staff in delivering care. While some records primarily described people’s support needs, they provided staff with the information needed to support people appropriately. Where people required support with food and drink, guidance was available for staff to follow. Staff understood people’s nutritional and hydration needs, and plans were in place to support them in maintaining their health and wellbeing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.The provider worked closely with healthcare professionals, and staff monitored people’s health conditions to help achieve positive outcomes. Staff told us they recorded their observations when monitoring people’s health conditions and reported any concerns to the registered manager in a timely way. Relatives told us they felt staff monitored people’s health conditions effectively and responded appropriately to any changes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider informed people about their rights in relation to consent. However, consent forms were not always completed accurately. For example, we found instances where 2 people who had full mental capacity had not signed their own consent forms, and these had instead been completed by their relative. This meant the provider could not always be assured that consent had been appropriately recorded. The registered manager addressed these issues during the inspection to improve the accuracy and consistency of consent records. Other consent forms we reviewed were fully completed and signed by the relevant person. At the time of this inspection, people using the provider had capacity to make all decisions regarding their care and treatment. Staff had completed training in the Mental Capacity Act and understood the importance of gaining consent before providing care.