Background to this inspection
Updated
12 March 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
Inspection activity started on 22 January 2020 and ended on 27 January 2020. We visited the office location on both dates.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. The provider did not complete the required Provider Information Return. This is information providers are required to send us with key information about the service, what it does well and improvements they plan to make. We took this into account in making our judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with one person who used the service and three relatives about their experience of the care provided. We spoke with two members of staff including the registered manager and a carer.
We reviewed a range of records. This included two people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervisions. A variety of record relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found in relation to one person’s risk assessment.
Updated
12 March 2020
About the service
Jakaranda Home Care Solutions Limited is a domiciliary care agency providing personal care to four people at the time of the inspection. 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
Risks to people were not always assessed. Robust recruitment checks had not been carried out with all staff to ensure they were suitable to work with vulnerable people. Whilst training was in place, there were gaps and it was inconsistent amongst the staff group. Some systems to monitor the safety and quality of the service required improvement.
People told us they felt safe and were happy with the support they received for their medicines. Personal protective equipment was used when required. 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 and relatives told us staff had the appropriate skills and knowledge to meet their needs. Staff worked with other healthcare professionals when appropriate. People were supported with meals and drinks when required.
People received care that respected their privacy and dignity and were supported by kind and caring staff. People were included in care plan reviews and staff supported people to make choices about their care. The provider had a complaints process and people felt confident to raise any concerns. Records held personalised information about people and staff knew people's preferences with regards to their care.
Staff felt supported by management and received regular supervision. The provider sought the views of people through surveys and carried out spot checks to monitor the care delivered. People and relatives were happy with how the service was managed and gave positive feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 23 January 2019). The service remains rated requires improvement.
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to Regulation 19, ensuring fit and proper people are employed and Regulation 17 ensuring there is good governance, at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.