Jadaky Care Agency Office

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

This is the first assessment for this service. We have been unable to provide an overall rating for this key question.

The service was in breach of legal regulation in relation to governance and fit and proper person’s employed.

We have not awarded this service a score for Safe.

Find out about when we will not publish a key question score and what we look at when we assess Safe.

We did not look at Learning culture during this assessment. There is no previous rating for the Safe key question so we cannot yet publish a score for this area.

The provider did not work well with people and health system partners to establish and maintain safe systems of care. They did not manage or monitor people’s safety.

The provider had not worked with the local authority in an open and transparent way to ensure partners understood they had a condition on their registration which prevented them from supporting people with a learning disability and/or autism. We found the provider had been accepted onto a framework for children whose primary area of needs was a learning disability and/or autism and this information had not been highlighted or shared as part of the framework process. This meant people were placed at risk of receiving unsafe care. After we raised this concern, the care of people with a learning disability and/or autism ceased and the provider applied to CQC to have the condition removed from their registration.

Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

Staff had received training in safeguarding vulnerable adults and children from abuse. Staff told us they felt confident to raise any safeguarding concerns with the registered manager or other professionals. We did not find any examples of anyone receiving unsafe care. The registered manager understood the importance of following safeguarding processes.

Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Risks were assessed and recorded in the care plan. Staff confirmed they had access to care plans and risk assessments. We reviewed risk assessments for the children receiving support and 2 adults who had previously received support. The assessments identified risks and included guidance for staff on how to reduce them.

We did not look at Safe environments during this assessment. There is no previous rating for the Safe key question so we cannot yet publish a score for this area.

The provider did not make sure there were enough qualified, skilled and experienced staff. They did not always make sure staff received effective support, supervision and development.

Staff were not recruited safely. We reviewed 3 staff member’s recruitment records and found they did not fully detail employment histories. References had been handwritten by the registered manager and had not been verified or fully completed.

Disclosure and Barring Service (DBS) checks against police intelligence had not always been checked prior to staff supporting vulnerable adults or children. One staff member had supported adults and children but had only been checked against the children’s barring service. Another staff member had been supporting children but had only been checked against the adults barring service. One DBS check had been completed by the staff member’s previous employer. A new DBS check should be completed at the commencement of a new role with a new provider. Two of the DBS checks had only been completed after people were being supported with personal care.

Staff told us they had received training, including supporting people with a learning disability and/or autism. However, training was provided via e-learning and most training had been provided by their previous employer. There were no competency assessments to check staff could safely support people to move or safely administer medicines.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

Infection control arrangements were recorded in care records. Staff understood the importance of good infection control and told us, “Infection Control and Prevention is about avoiding spreading viruses or diseases to service users.”

We did not look at Medicines optimisation during this assessment. There is no previous rating for the Safe key question so we cannot yet publish a score for this area.