Background to this inspection
Updated
5 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by two inspectors.
Service and service type:
Jeffries Care Limited is a Domiciliary Care Agency. The agency provides care and support for people in their own homes. The Care Quality Commission (CQC) regulates the care provided and this was looked at during the inspection.
The service has a manager registered with CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
We gave two days’ notice of the inspection visit because we needed to be sure the managers would be at the office and to make arrangements to speak with people, relatives and staff.
Inspection site visit activity took place on 30 April 2019. Service users and relatives were contacted on 3 May 2019. We visited the office location on 30 April 2019 to see the manager and office staff; and to review care records and policies and procedures.
What we did:
The provider submitted a Provider Information Return (PIR) on 20 February 2019. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspection.
Before the inspection we reviewed the information we held about the service. This included statutory notifications sent to us by the registered manager about events that had occurred at the service. A notification is information about important events which the provider is required to tell us about by law. We used this information to decide which areas to focus on during the inspection.
During the inspection we spoke to eight members of staff, including the provider and the registered manager. We spoke to four people, five relatives and three professionals who had links with the service. We looked at five people’s care plans, audits and quality assurance reports, records of compliments, comments and complaints and Medicine Administration Records (MAR).
Updated
5 June 2019
About the service: Jeffries Care Ltd is a domiciliary care agency. The agency is a limited company and a franchise of Home Instead Senior Care. The agency provides care, support and personal care to people living in their own homes. At the time of this inspection care was being provided for 15 people.
Not everyone using Jeffries Care Limited 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. Where they do we also take account of any wider social care provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
People’s experience of using this service:
People told us they felt safe when staff were in their homes. Risks to people were identified, assessed and reviewed with people, their relatives and health and social care professionals.
People received support from the same staff which meant care was provided consistently and people knew who would be supporting them. There were enough staff to meet people’s needs and no care calls had been missed since the service opened. A person told us, ‘I do like that they are punctual, usually on the dot.’
Staff were recruited safely. They had a good understanding of safeguarding procedures and the processes to follow if they had any concerns. They were confident about reporting issues and were aware of the whistleblowing policy.
People were supported to make choices and to remain as independent as possible. People, relatives and professionals told us that staff had a good understanding of people’s needs. Staff were regularly spot checked to make sure they continued to provide good care, and evidence was seen of training and supervision. Staff knew people well and spoke with knowledge, understanding and empathy about people.
People had access to health and social care professionals and where necessary, staff supported people to make and attend appointments. People were supported to make food and drinks and to take their medicines if required.
Everyone we spoke to told us that staff were caring and respectful. A relative told us, ‘They are very good, very considerate. They will do anything for him.’
Staff knew how best to communicate with people and how to support people to make choices and decisions. A complaints policy was in place that was produced in large print and different formats. People and relatives told us they knew how to complain and were confident that their concerns would be addressed.
People, relatives and professionals told us that the service was run very well. A professional told us, “They meet all of the criteria. They are well organised and always respond. The management are ambitious but will only expand to take on more people when systems and staff are safely in place”. The agency had been trading for a year and the provider was keen to develop and grow and had built connections with stakeholders including the local authority, other providers and community groups.
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Rating at last inspection: Jeffries Care Ltd have not been inspected by CQC before.
Why we inspected: This was a planned, comprehensive inspection. The inspection took place in line with CQC scheduling guidelines for adult social care services.
Follow up: We will review the service in line with our methodology for ‘good’ services.