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JLKare and Support Limited Good

Reports


Inspection carried out on 23 December 2019

During a routine inspection

About the service

JLKare and support Limited is registered to provide personal care to people in their own homes within a supported living setting. On the day of the inspection 16 people were being supported. Of these 10 people received personal care in their own homes and six people with learning disabilities received personal care in a supported living environment.

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.

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

People’s safety was integral to the support they received and care staff were trained to keep them safe. Recruitment processes were in place and training was provided before care staff could administer medicines. Systems were in place to ensure there were sufficient care staff and risks to people were identified and managed. The provider ensured they had clear infection control procedures.

People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Care staff were supported to meet people’s needs and had the skills and knowledge to do so. People were supported with their dietary needs and relatives told us they could rest easy knowing care staff were monitoring people’s health as part of the support people received.

People and relatives told us the care staff were compassionate, caring and kind. People’s privacy, dignity and independence was integral to how people were supported.

The services offered were responsive to people’s needs. Professionals told us they could always rely on the service to respond to people’s needs. People were communicated with in ways they would understand. Assessments and support plans were clear and concise. Reviews took place regularly so any changes to people’s needs could be responded to quickly.

Everyone we spoke with told us the service was better than well led. One person said, “There are not any words to explain how my life as changed because of this service”. We found spot checks and audits were carried out to ensure quality of the support people received. The provider used a range of methods to ensure engaged with people was successful.

Services for people with learning disabilities and or autism are supported

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service consistently applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Rating at last inspection

The last rating for this service was Good (Report published 25 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspect

Inspection carried out on 16 May 2017

During a routine inspection

This inspection took place on 15 May 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be in.

This was the first rating inspection of this service since they were registered with CQC on 25 August 2016.

The service is registered to provide personal care and support to younger and older adults, living in their own homes. People using the service have a range of needs which include dementia, old age, physical disability or learning disability. At the time of the inspection the service was providing support and personal care to six people who were living in their own homes or within a supported living facility within the community. Supported living enables people who need personal or social support to live in their own home supported by care staff instead of living in a care home or with family. The levels of support people received from the service varied, according to their assessed needs and levels of independence.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People and their relatives were full of praise and compliments about the staff who supported them. They described them as kind, caring and supportive. Staff went above and beyond when supporting people and this was recognised and commented on by people, relatives and other professionals. People were supported and encouraged to maintain their independence and have their voice heard. Staff respected people’s privacy and dignity and were respectful when supporting them with their needs. People were happy to recommend the service to others, based on their own positive experiences.

People were protected from harm because there were systems in place to identify and manage risks associated with their needs. Staff were aware of the risks to people on a daily basis and of their responsibilities to report any concerns they may have. For those people who were supported to take their medicines, systems were in place to ensure this was done safely and effectively.

People benefitted from being supported by the same consistent staff group, who had been introduced to them and were aware of their needs.

The recruitment process ensured people were supported by staff who were recruited safely and who had the values that represented the ethos of the service, which was to employ caring and compassionate people.

People were supported by staff who received a comprehensive induction and were well trained. The training programme ensured staff had the most up to date skills required to meet the individual needs of the people they supported. Additional training was identified and provided where required. Staff received regular supervision and were provided with the opportunity to discuss their learning or any concerns they may have.

For those who required it, support was offered at mealtimes to ensure people had sufficient food and drink. People were supported by staff who were aware of their health care needs and supported them to access healthcare appointments where necessary.

People were fully involved in the development of their care plans to ensure that care staff knew how to support them in the way they wanted to be supported. Care staff were aware of people’s likes and dislikes, what was important to them and how to support them in the way they wanted to be supported. People’s care needs were regularly reviewed. The service was responsive to people’s needs and kept staff up to date with changes in people’s packages of support.

Staff felt listened to and were well supported in their role and told us they felt valued and were proud t