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Inspection carried out on 10 April 2019

During a routine inspection

About the service: Joelma Limited is domiciliary service that was providing personal care to five people at the time of the inspection.

People’s experience of using this service:

People told us they felt safe and thought that staff were kind and caring.

The registered manager had systems and processes in place ensuring risks were well managed and care was personalised and reviewed.

Staffing levels, skills and experience were suitable to meet the needs of people.

Staff had a good understanding of preventing the spread of infection by using the protective equipment and good hand hygiene practices.

The registered manager shared lessons learnt with staff and managed complaints and concerns in an open and honest way through regular staff meetings and individual discussion.

People told us they felt involved and listened to in relation to their care needs. People also said staff respected their wishes and preferences and supported them to make decisions or to seek support for others to make decisions on their behalf.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff supported people with meals and drinks and to access specialised healthcare when needed.

The registered manager used systems such as training, policies and care plans to ensure that staff had the skills and knowledge to support people who needed end of life care in the future.

Care visits were on time and the registered manager and the staff team were clear about their roles and the impact of good care.

The registered manager showed ways that they were working with other agencies and healthcare professionals to ensure quality care for people receiving the service.

Rating at last inspection: This was the first time we had inspected this service which was newly registered with the Care Quality Commission on 05 April 2018.

Why we inspected: This was a planned inspection based on the date of registration.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

The service met the characteristics of good in all areas. For more details, please see the full report which is on the CQC website at www.cqc.org.uk