JJR Care 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 assessment 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 had been assessed, and considered their physical, mental health, sensory, social and communication needs. The assessment informed the plan of care. People and their family members had been involved to ensure their wishes and preferences were fully considered in these discussions. Regular reviews of care plans were carried out to ensure they remained accurate and reflective of people’s current 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’s policies reflected national legislation, evidence-based good practice guidance and required standards. These were reviewed and kept up to date. Recognised tools were utilised in assessing and mitigating risk and scored to show the level of risk. This approach enabled people to remain independent whilst minimising risks to their health and wellbeing. Staff received recognised training to undertake their roles and responsibilities.

Care plans included person-centred information about people’s nutrition and hydration needs, including details of any monitoring, risks or related health conditions. Staff documented in their daily notes, the meals and drinks given after each visit which ensured people’s wishes and preferences were followed.

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 assessment of needs when people moved between different services.

The service completed a comprehensive initial assessment with people and family members to understand their wishes, needs and desired outcomes. This was shared with staff in a clear and transparent way, so staff knew how best to support people. Staff understood the process of working with other services and the role they played in supporting people should they need professional support such as the GP, district nursing or social work input.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People’s day-to-day health and wellbeing needs were met, and they experienced positive outcomes related to these needs. Staff effectively empowered and supported people to be as involved in or manage their own needs as much as possible including regular reviews of their care and support needs. The service identified risks to people’s health and wellbeing and supported them to remain as active and mobile as possible.

The provider had systems in place for staff to make referrals to health and social care professionals for additional support for people as and when required. The registered manager told us, “We would link with the person’s family and make them aware of any concerns to ensure we work together to get the necessary support quickly when needed.”

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.

People and their family members expressed satisfaction with the care provided and felt staff monitored their needs effectively. A family member said, “The staff coming in gives us peace of mind whenever we are not there.”

Care records confirmed documentation was detailed and person-centred. Robust processes were in place to ensure people’s needs were regularly monitored and reviewed. The registered manager routinely evaluated systems and processes within the service to identify opportunities for improvement. Staff felt they ensured good outcomes for people. A staff member told us, “[Person’s name] is able to do more now with support, gently a bit at a time.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The registered manager and staff demonstrated a clear understanding of the principles of consent, and this was appropriately documented within people’s care records.

People’s consent was actively sought when providing care and support. People and their family members were given appropriate information relating to decisions about the care received. Mental capacity assessments were undertaken in relation to people’s ability to make their own decisions and these were recorded, so staff would know how to uphold their rights and maintain their independence.