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Jeremys Carebuddies Limited Requires improvement

This service was previously registered at a different address - see old profile

We are carrying out a review of quality at Jeremys Carebuddies Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 August 2021

Jeremys Carebuddies Limited provides a domiciliary care service for older people living in their own homes in the community. They also provide a live-in care service. At the time of our inspection, there were 21 people receiving 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

People were not always supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Although all the people who used the service had the capacity to make decisions, these were not always respected. None of the care plans were signed by people and there were no consent forms in place to evidence people had been consulted.

Where specific risks were identified, support plans were not always personalised and there were no guidelines from healthcare professionals to help staff meet people’s individual needs. Risk assessments were in place but were not always rated according to the level of risk.

People's needs were assessed before they started using the service and care plans were developed from initial assessments. However, instructions on people’s care plans were confusing and there was a risk staff would not know how to meet people’s individual needs.

Although improvements had been made in relation to the management of medicines and staff recruitment, the provider’s systems for monitoring the quality of the service had failed to identify the shortfalls we found during our inspection.

People who used the service and their relatives were happy with the service they received. People said that the staff were kind, caring and respectful and they had developed good relationships with them.

The provider worked with other professionals to make sure people had access to health care services. People received their medicines safely and as prescribed. People’s nutritional needs were assessed and met.

Staff were happy and felt well supported. They enjoyed their work and spoke positively about the people they cared for. They received the training, support and information they needed to provide effective care. The provider had robust procedures for recruiting and inducting staff to help ensure only suitable staff were employed.

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 25 July 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made and the provider was still in breach of regulations.

The last rating for this service was requires improvement (published 25 July 2018). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

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

We have identified breaches in relation to consent, person-centred care and good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Please see the action we have told the provider to take at the end of this report.

We have made a recommendation about risk assessment.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and s

Inspection areas

Safe

Requires improvement

Updated 3 August 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 3 August 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 3 August 2021

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 3 August 2021

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 3 August 2021

The service was not always well-led.

Details are in our well-Led findings below.