Jemis Care

Jemis Care is a care agency providing personal care and support to people living in their own homes. 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. At the time of the inspection, one person was receiving a regulated activity.

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

During the inspection we found the management of risks was not always effective as risks were not always identified and risk management plans were not always developed to provide staff with guidance about how to mitigate identified risks to people.

Quality monitoring process were in place, but these were not always effective as they had not enabled the provider to identify and address the issues we found during the inspection.

The relative we spoke with told us they felt the service was safe, caring and met the person’s needs. The provider followed safe recruitment practices to help ensure suitable people were employed. Staff received appropriate training to meet people’s care needs. Appropriate infection prevention and control practices were followed.

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 care plan provided information about the person’s care needs and how they would like their care to be provided. They were supported by the same staff who understood their needs and preferences.

The registered manager was approachable and involved in the day-to-day care and running of the service, including providing hands-on care.

The provider had procedures for managing incidents, accidents, safeguarding alerts and complaints.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 24 May 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 31 March 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Responsive and Well-led which contain those requirements.

For the key question not inspected, we used the rating awarded at the last inspection to calculate the overall rating. The overall rating for the service has remined requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jemis Care on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safe care and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.

Jemis Care is a care agency providing personal care and support to people living in their own homes. 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. At the time of the inspection, two people were receiving a regulated activity.

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

The person and relative we spoke with told us they felt the service was safe, caring and met people’s needs. However, during the inspection we found the management of risks was not always effective as risk management plans were not always developed to provide care workers with guidance on mitigating the identified risks to people.

The provider did not always follow safe recruitment practices as they did not always carry out appropriate checks to help ensure they only employed suitable staff.

The principles of the Mental Capacity Act were not consistently followed. However, overall 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.

Some areas of care records were person centred but other areas lacked detail. We have made a recommendation about ensuring records reflected person centred care.

The provider had some quality monitoring process in place, but these had not always been effective as they had not enabled the provider to identify and address the issues we found during the inspection.

Staff followed appropriate infection prevention and control practices. Care workers were supported in their roles through training and regular contact with the registered manager.

People and relatives were involved in planning their care and felt able to give their views. People were supported by staff who understood their culture and could speak their first language.

The person and relative we spoke with told us the manager was accessible and responded to their concerns.

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

Rating at last inspection and update

This service was registered with us on 15 September 2020 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 and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to safe care, safe recruitment and good governance. Please see the action we have told the provider to take at the end of this report.

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.