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Jane Lewis Health & Social Care Outstanding

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 1 March 2019

About the service: Jane Lewis Health and Social Care is a Domiciliary Care Agency which provides clinically-specialised care packages to children and adults with complex healthcare issues.

People’s experience of using this service:

People and families told us the staff were kind, compassionate and respectful towards them. They described how they trusted and felt safe with the staff. The management team and staff had developed strong relationships with people and family members and were described as ‘going that one step further’ in order for them to have an improved quality of life.

People had had the opportunity to choose their own staff and ensure that they were compatible. Family members told us they had become reliant on the staff, had full confidence in them and they were more like friends.

People were supported to have maximum choice and control of their lives and supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The service was exceptionally well-led. There was a visible and effective leadership team who were open and transparent. This resulted in an effectively organised, supportive and well managed service. Professionals told us they continued to return to the service for new support packages as they had “Every confidence” in them and they would “Think outside of the box” to make things happen.

The registered manager demonstrated how their robust quality assurance systems had sustained continual development and improvement at the service. They had demonstrated innovative ways of working that ultimately improved the outcome for people and families they supported. They were clear about their expectations relating to how the service should be provided and led by example. Since the last inspection, they had made many positive changes and were driven to provide an outstanding service. They were supported by support workers and a management team who were passionate and fully committed to delivering quality person-centred care to people. Morale was high within the service.

People and families were extremely complimentary about the support provided and told us how they had been able to maintain wider family relationships, work, education and social lives. A very person centred approach had been adopted in the assessing, planning and delivery of people’s care and support. This took into account all aspects of a person’s health and wellbeing. Care plans were extremely detailed and informative yet highly personal. They identified positive outcomes for people.

Staff were highly skilled, motivated and knowledgeable. They provided flexible care and support in line with a person’s needs and wishes. The staff team was consistent and people achieved positive outcomes which exceeded expectations. People were able to live in their own homes and maintain personal or family relationships. Staff worked alongside other family members and professionals to provide a better quality of life for people in the short and long term: supporting them to develop in areas such as communication, social interaction, education and independence.

People told us they felt safe whilst being supported by staff. Families were confident that loved ones were well cared for despite known risks to their health and wellbeing. Adults and children were supported to live at home with complex health needs. Staff encouraged them to be as independent as possible whilst ensuring they remained safe and well. There was a proactive approach to assessing, anticipating and managing risk which allowed people to remain safe.

People were encouraged and supported to take positive risks so the restrictions on their own or family life were kept to a minimum.

Medicines were managed safely and people received medication at the right time.

Rating at last inspection: The service was rated good on 5 May 2016.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Good

Updated 1 March 2019

The service remained good.

Details are in our Safe findings below

Effective

Outstanding

Updated 1 March 2019

The service was now extremely responsive.

Details are in our Effective findings below

Caring

Outstanding

Updated 1 March 2019

The service was now exceptionally caring.

Details are in our Caring findings below.

Responsive

Outstanding

Updated 1 March 2019

The service was now extremely responsive.

Details are in our Responsive findings below.

Well-led

Outstanding

Updated 1 March 2019

The service was now extremely well led.