Jusrade Care Head Office

Updated 5 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place 31 October 2018 and was announced. We gave the service 48 hours' notice of the inspection visit because it is small and we wanted to make sure staff would be available to speak with.

On 31 October 2018 we visited the office to speak with the manager, office staff, to review care records, and policies and procedures. We spoke with people on 01 November 2018 and 05 November 2018 by way of telephone calls.

This inspection was carried out by one inspector. This was the service's first inspection since registering with us in 2017.

Prior to this inspection we reviewed the information available to us about the service, such as the notifications that they had sent us. A notification is information about important events which the provider is required to send us by law. We also used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with three people using the service. We spoke with two members of care staff, registered manager, administration manager and the nominated individual for the company. We checked three people's care records and medicines administration records (MARs). We checked records relating to the management of the service, such as audits, staff recruitment, training and health and safety records.

Updated 5 December 2018

This inspection of Jusrade Care Head Office took place on 31 October 2018. Our visit to the office was announced to make sure staff were available. We spoke with people on 01 November 2018 and 05 November 2018 by way of telephone calls. This was their first inspection since registering with the CQC.

Jusrade Care Head Office is a domiciliary care agency that provides personal care to people living in their own houses and flats in the community. It provides a service to older adults. At the time of our visit 14 people were using the service. Not everyone using Jusrade Care Head Office received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating.

There was a registered manager at this agency who was supported by an administration manager. 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.

The provider's monitoring process looked at systems relating to the care of people, where issues were identified action was taken to resolve these. People's views were sought and action put into place to improve issues that were raised. Medicines were administered safely and there was clear information and guidance in people's care plans for staff to follow when giving medicines in specific ways. Care plans were written in detail and contained guidance for staff to follow although some improvements are required to ensure the information in each person’s care plans were clearer to understand.

Staff knew how to respond to possible harm and how to reduce risks to people. Lessons were learned from accidents and incidents and changes to practise were shared with staff members to reduce further occurrences. There were enough staff who had been recruited properly to make sure they were suitable to work with people. Staff used personal protective equipment to reduce the risk of cross infection to people.

People were cared for by staff who had received the appropriate training and had the skills and support to carry out their roles. Staff members understood and complied with the principles of the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People received support with meals, if this was needed.

Staff were caring, kind and treated people with respect. People were listened to and were involved in their care and what they did on a day to day basis. People's right to privacy was maintained by the actions and care given by staff members. There was enough information for staff to contact health care professionals if needed and staff followed the advice professionals gave them. People's personal and health care needs were met and care records guided staff in how to do this.

A complaints system was in place and there was information available so people knew who to speak with if they had concerns. Staff had guidance to care for people at the end of their lives if this became necessary.