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Inspection Summary


Overall summary & rating

Good

Updated 8 February 2019

The inspection took place on 07 and 14 January 2019. The inspection was announced.

This service is a domiciliary care agency. Adejom Staffing Care is a care agency that provides care services to people in their own homes. Not everyone using the service receives a regulated activity of 'personal care.' CQC only inspects the service being received by people provided with ‘personal care’. At the time of inspection, one person was receiving personal care at home.

There was a registered manager employed at the service. A registered manager is a person who has registered with 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 2008 and associated Regulations about how the service is run. The registered manager was also the registered provider at the service.

The registered manager held a professional nursing qualification and was registered to practice with the Nursing and Midwifery Council (NMC). They worked alongside their staff to deliver care. The registered manager had an in depth knowledge of how the service was running and got to know people and staff very well.

The registered manager checked staffs' suitability to deliver personal care during the recruitment process. Staff were deployed in line with the agreed times needed to meet the persons assessed needs. Staff received training and supervision and continued to be that matched to people’s needs effectively.

Staff received training about safeguarding and understood their responsibilities to protect people from harm. Staff were encouraged and supported to raise concerns by the registered manager and by the services safeguarding policies, such as whistleblowing. Emergency response contingency plans were in place to limit disruption to care during times of foreseeable events such as extreme weather events.

The person using the service verbally communicated their needs to staff. However, the registered manager was aware of the Accessible Information Standard (AIS) and its requirements to make information available to people in different formats if and when needed.

The registered manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA).

People’s needs were assessed and their needs were recorded. Staff understood the risks to people’s individual health and wellbeing and risks were clearly recorded in their care plans.

Staff received food hygiene training. Where staff supported people with cooking, this was done in liaison with people and their relatives who lived with them.

People, their relatives and health care professionals had the opportunity to share their views about the service.

There were appropriate systems in place to enable people to make complaints. Incidents and accidents were reported and appropriately investigated.

Staff were friendly and caring. Staff consistently demonstrated they shared the provider's vision and values when delivering care.

Staff followed the provider's infection control policy. This had been recorded by the registered manager when they carried out observations on staff.

Staff were not administering medicine at the time of this inspection. However, there was a medicines administration policy that followed published guidance. Staff had been trained to administer medicines. The registered manager had systems ready for the audit of staff administered medicines if needed.

The service was not providing end of life care. However, policies were in place to cover end of life care if needed.

There was no evidence that any notifiable incidents had happened at this service. However, the registered manager understood their responsibility to send statutory notifications to CQC when required.

Inspection areas

Safe

Good

Updated 8 February 2019

The service was safe.

Individualised and general risks were assessed to minimise potential harm.

Staff knew what they should do to identify and raise safeguarding concerns. Management understood how to report safeguarding concerns and notified the appropriate agencies.

The provider used safe recruitment procedures. Medicines policies were in place.

Systems were in place so that incidents and accidents could be recorded and monitored to reduce risk.

Staff protected people from the risk of cross infection.

Effective

Good

Updated 8 February 2019

The service was effective.

The care was based on an assessment of people's needs.

People were cared for by staff who knew their needs well.

Staff encouraged people to eat and drink to maintain their health and wellbeing.

Staff met with their managers to discuss their work performance and each member of staff had attained the skills they required to carry out their role.

The Mental Capacity Act 2005 was understood by the management and staff received training about this.

Caring

Good

Updated 8 February 2019

The service was caring.

Relatives told us that staff were kind, caring and respectful.

Staff protected people�s privacy and dignity, and encouraged them to retain their independence where possible.

People or their relatives were involved in making decisions about their care. Staff took account of people�s individual needs and preferences.

Responsive

Good

Updated 8 February 2019

The service was responsive.

People were provided with care when they needed it based on a care plan about them.

Staff communicated with and provided care to people as individuals.

Information about people was updated and with their involvement so that staff only provided care that was up to date.

People were encouraged to raise any issues they were unhappy about.

Well-led

Good

Updated 8 February 2019

The service was well led.

The provider operated systems and policies that focused on the quality of service delivery.

The aims and values of the organisation were shared by staff.

People were asked about the quality of the service they experienced.

The registered manager operated systems and policies that were focused on managing risks and the quality of service delivery.

The staff worked with other organisations to manage people�s care.