J&R Care Services

Updated 6 April 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 completed by 1 inspector.

Service and service type

J&R Care Services 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 the service is small and we needed to be sure the registered manager would be in the office to support the inspection.

What we did before the inspection

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 information gathered as part of monitoring activity that took place on 12 April 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, administrator and 1 person who used the service and 1 relative. We reviewed a range of records, including care records. We looked at recruitment files and a variety of records relating to the management of the service were reviewed including policies and procedures.

Updated 6 April 2023

About the service

J&R Care Services is a domiciliary care provider providing personal care to people living in their own homes, so they can live as independently as possible. At the time of our inspection there was 1 person using the service.

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

Systems were in place to ensure people were safe from the risk of abuse. Staff completed safeguarding training in recognising and reporting abuse and the provider has a safeguarding policy in place. Staff followed infection prevention and control practices and there was an infection control policy in place including procedures to follow in relation to COVID 19.

There were enough staff to meet people’s needs. There was a safe recruitment process in place to ensure staff were recruited safely and appropriate checks were completed prior to employment.

Assessments of people's needs were completed and people were involved in creating personalised care plans, which included guidance for staff on supporting people with their individual needs.

The service was caring and staff were respectful. Staff had developed positive relationships with people and treated people with kindness and compassion. The provider focused on promoting people’s independence in their own homes.

Care plans were detailed and clearly described people’s needs. Care plans were reviewed when people’s needs changed. A complaints policy was in place and people knew how to raise a concern.

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.

The provider had a good oversight of the service. There were systems in place to monitor the quality of the service. Regular audits were carried out to ensure risks were identified and action taken to minimise any risk. People’s feedback was sought to drive improvements.

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 requires improvement (published 31 October 2019) and there were 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 we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Follow up

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