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Jays Homecare Limited Inadequate

Action is being taken against the provider of this service. Find out more

  • We have served a fixed penalty notice to Jay's Homecare Limited for failure to comply with the notification requirement under Regulation 18(2) of the Care Quality Commission (Registration) Regulations 2009, an offence under Regulation 25 of the 2009 Regulations at Jays Homecare Limited, Unit 46, Pure Offices Ltd, 4100 Park Approach Thorpe Park, Leeds, LS15 8GB on 1 March 2019. Fines totalling £1250 have been paid as an alternative to prosecution.
We are carrying out a review of quality at Jays Homecare Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 19 November 2019

Jays Homecare Limited is a domiciliary care service providing personal care to people in their home. Not 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. The provider told us at the time of the inspection 29 people, aged 65 and over, received personal care.

People’s experience of using this service and what we found

People were not safe because medicines were not managed safely. Recruitment practices were not robust and did not ensure staff were suitable to work at Jays Homecare Limited. People were happy with the staffing arrangements and the same care workers usually visited. However, staffing was not always reliable because one person had three missed calls over a three week period. Staff said they would report concerns about people’s safety to the manager but did not know they could also report safeguarding concerns to the local authority. People’s safety was assessed and managed although we could not check everyone’s care records because only 10 people’s care files were available to review. Staff followed infection control procedures.

Staff received in-house training, but this did not equip them with the relevant knowledge. Staff often completed 10 training sessions in one day. Staff who started working at Jays Homecare Limited did not receive an appropriate induction. Most people managed their own healthcare or accessed services with support from their family and friends. People’s dietary needs and support at meal times were recorded; the service provided support with snacks and ready meals. 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.

Feedback from people who used the service and relatives was consistently positive. People spoke with genuine warmth when sharing their experience about individual care workers. They told us staff were kind and caring, and their dignity and independence was promoted.

People had care plans that usually outlined how staff should deliver care and the manager had visited people to check the care they received was appropriate. There was no information in people’s care records to show how the service has explored people’s preferences and choices in relation to end of life care. Systems were in place to deal with complaints although a concern raised by one person had not been recorded so the provider was unable to show how they had resolved the issue.

The provider's quality management systems were not effective and did not identify areas where the service had to improve. The manager and provider did not always have a clear overview of the service and incorrect information was shared during the inspection. The provider did not demonstrate they understood their responsibilities and accountability.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 15 February 2019) and there were multiple breaches of regulation. At this inspection improvement had not been made and the provider was still in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jays Homecare Limited on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to management of medicines, staff training and support, recruitment of workers and governance arrangements at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspect

Inspection areas

Safe

Inadequate

Updated 19 November 2019

The service was not safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 19 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 19 November 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Inadequate

Updated 19 November 2019

The service was not well-led.

Details are in our well-Led findings below.