19 April 2023
During a routine inspection
Joyfredwil Healthcare Ltd is a service providing personal care to people living in their own homes. It provides long term and short term care to people within the community. At the time of our inspection, the service supported 1 person.
People’s experience of using this service and what we found
Joyfredwil Healthcare Ltd is a small service and due to the number of service users at the time of inspection, the CQC were only able to rate the provider in the Safe and Well Led key questions.
The care people received was not safe. Medicine Administration Record (MAR) charts were not used to record where people were prompted or administered medicines. People were at risk of not receiving their ‘as needed’ PRN medicines as staff were not aware of when or how to administer these medicines.
Care plans were not person centred and did not reflect the care people were receiving. Risk assessments were not completed or did not reflect people’s needs and wishes.
While staff were recruited safely, they were not supported by regular supervision or competency checks. This meant that staff were not supported to develop or offered the opportunity for feedback and ongoing support and development.
The provider did not complete quality and assurances checks on the service and care they provided, this meant the provider did not have any oversight of issues and had not identified the failings found on inspection.
People were supported to have maximum choice and control of their lives, staff had in depth knowledge of people’s needs and supported them in the least restrictive way possible and in their best interests; however, the policies and systems in the service did not support this practice.
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 14 June 2019, and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement
We have identified breaches in relation to safe care and treatment and governance at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.