Juventa 4 Care Ltd

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.

There was a manager at the service who was registered with the CQC. A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.

Juventa 4 Care was registered with the CQC on 27 September 2016. This is the services first inspection.

The inspection took place on 15 and 18 September 2017. We gave the registered manager 48 hours’ notice of our inspection to make sure the registered manager, some staff and some people receiving support would be available to meet and speak with us.

In the main people spoke positively about the support provided to them. They told us they felt safe and their care workers were respectful and kind.

We saw there were systems in place to protect people from the risk of harm. Staff we spoke with were knowledgeable about safeguarding people and were able to explain the procedures to follow should an allegation of abuse be made. Assessments identified risks to people, and management plans to reduce the risks were in place to ensure people's safety.

We found systems were in place to make sure people received their medicines safely so their health was looked after.

Staff recruitment procedures were robust and ensured people’s safety was promoted.

There were appropriate numbers of staff employed to meet people’s needs and provide a flexible service.

Staff were provided with relevant training so they had the skills and knowledge they needed to undertake their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice. People had consented to receiving care and support from Juventa 4 Care.

Visit times were flexible to support people’s access to health professionals to help maintain their health.

People were supported to maintain a healthy diet which took into account their needs and preferences, so their health was promoted and choices could be respected.

Staff knew the people they supported well. People’s privacy and dignity was respected and promoted. Staff understood how to support people in a sensitive way.

People said they could speak with their care workers or the registered manager if they had any worries or concerns and they would be listened to.

There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.