Juventa 4 Care Ltd

Updated 3 February 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 24 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 and ended on 17 January 2023. We visited the location’s office and made telephone calls to people and their relatives on 17 January 2023.

What we did before the inspection

We reviewed information we had received about the service since they were last inspected. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke over the telephone with 6 people who used the service and 6 family members. We spoke with 5 care staff in person, the care coordinator, 2 deputy managers and the registered manager/nominated individual manager of the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We visited the office location to review written records. We looked at three people's care records. We checked records relating to the management of the service including staff files, policies and procedures and quality assurance records.

Updated 3 February 2023

About the service

Juventa 4 Care Ltd is a domiciliary care agency registered to provide personal care. The agency office is based in Sheffield. Support is currently provided to people living in their own homes in Sheffield. At the time of this inspection the service was supporting 118 people with personal care. 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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support:

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.

Risks associated with people’s care and support had been identified and were being monitored. An analysis of accidents and incidents was in place, which showed these events were effectively analysed and lessons were learnt.

People were safeguarded from the risk of abuse. Staff confirmed they received training in safeguarding and could explain what action they would take if they suspected abuse was taking place. People told us they were safe.

The service had recruitment processes in place to ensure suitable staff were employed. Medicines were managed effectively, and the provider ensured all infection control measures were followed by staff.

Right Care:

Care was personalised and responsive to people’s needs. People who used the service and their relatives were satisfied with the service and confirmed they were involved in planning their care. People and family members were complimentary about the staff. Where required, people received good support with eating and drinking and medication.

Feedback about consistency of support workers was that they were reliable and in the main arrived on time, although some people said the timing of visits was sometimes inconsistent. None of these visits were time critical, but we fed back to the registered manager these comments so they could monitor of staff visit times more closely.

Right Culture:

Staff recognised when people needed support from other services, and they sought advice and assistance if they were concerned about people’s health.

People told us any concerns were addressed immediately with appropriate actions.

The service was well run, and people who used the service were satisfied with the care and support they received. Audits and checks of documents and systems helped ensure continuous learning and improvement.

People, their family members and staff had regular opportunities to provide feedback about the service and there was an effective complaints process in place. We have made a recommendation about collating this feedback into reports so people could see any improvements made as a result of their feedback had been implemented. The provider said they would act to meet this recommendation.

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 good (report published on 11 October 2017). The overall rating for the service has remained good based on the findings of this inspection.

Why we inspected

The inspection was prompted in part due to concerns received about staffing, medicines and staff training. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Juventa 4 Care Ltd on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.