Archived: 5 Jewels Home Care

Updated 9 October 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. 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 Care Act 2014.

Inspection team

One inspector conducted the inspection.

Service and service type

The service is a domiciliary care agency. It provides personal care to people living in their own homes in the community.

The service had a manager registered with the Care Quality Commission. 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 the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 6 September 2019 and ended on 17 September 2019. We visited the office location on 10 September 2019.

What we did before the inspection

Prior to the inspection we had received information about the service since it’s registration on 12 September 2018. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and two relatives about their experience of the care provided. We spoke with the registered manager who is also the registered provider and three members of staff including the care manager and two care workers.

During the inspection we looked at two people's support plans in detail which included a range of support plans and risk assessments and one person’s support plan on a specific topic. We reviewed a range of documents relating to how the service was managed including; three staff personnel files, staff training records, policies, procedures and quality assurance audits.

After the inspection

We continued to seek clarification from the provider to validate evidence found in relation to medicine competency assessments.

Updated 9 October 2019

About the service

5 Jewels Home Care is a domiciliary care agency. On the day of our inspection nine people were receiving care and support from 5 Jewels Home Care.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

Staff did not receive medicine competency checks to check practices were safe prior to administering medicines. Governance and performance management systems were not always effective.

We have made a recommendation about the Accessible Information Standard.

Recruitment processes were not always of good quality but remedial action had been taken to address concerns. New staff received an induction. The service received the input of other healthcare professionals where needed.

Staff were caring. Everyone we spoke with were complimentary about staff and the service. People and their relatives told us they very happy with the service and had no concerns. People were treated with dignity and respect. Support plans were accurate, although information relating to support plan reviews were not always recorded.

The provider had a complaints procedure in place. People and their relatives were aware of how to make a complaint. People and staff were consulted and asked for feedback about the quality of the service.

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 was working within the principles of the MCA.

People and relatives were involved in decision making. Staff were responsive to people's needs and wishes and knew people well. People were offered choices and encouraged to remain independent. People's views were sought and action taken to improve the service from these.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 12 September 2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

Follow up

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

Enforcement

We have identified breaches in relation to safe care and treatment and good governance. For requirement actions we are able to publish at this time, please see the action we have told the provider to take at the end of this report.