Background to this inspection
Updated
9 June 2021
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
The inspection was completed by one inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own homes.
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 24 May 2020 and ended on 27 May 2021. We visited the office location on 25 May 2021.
What we did before the inspection
Before the inspection we reviewed the information we had received about the service, including notifications. Notifications are information about specific important events the service is legally required to send to us. We reviewed additional information previously received from the service. We sought feedback from the local authority and professionals who work with the service.
We spoke with four people who used the service, one relative about their experience of the care provided and one staff member via telephone.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with the registered manager and office manager. We reviewed a range of records, including six people’s care records and four staff files in relation to recruitment and staff supervision. We looked at records in relation to the management of the service, such as policies and procedure.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We also spoke with three staff members via the telephone.
Updated
9 June 2021
About the service
JHN Healthcare Ltd is a domiciliary care agency which provides support and personal care to people living in their own home. Not everyone using JHN Healthcare Ltd 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 into account any wider social care provided. At the time of our inspection 18 people were receiving a regulated activity from the service.
People’s experience of using this service and what we found
People were supported by caring, well trained staff that had been subject to a thorough recruitment and induction process.
People told us they received safe care and were confident that if they raised concerns, the management team would act promptly to address these. People received their medicines as prescribed and infection control risks were managed effectively.
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.
Care plans were person-centred for staff to know each person on an individual level. People were supported by staff in a safe way and risks were well assessed, managed and monitored.
Staff supported people to access healthcare professionals when they needed them and worked alongside social care professionals to ensure a joined-up approach to people's care.
People, their relatives and staff felt confident to raise any concerns or suggestions to the registered manager. Evidence was seen of action being taken in response to improve the care of people being supported by the service.
The registered manager kept in regular contact with people by visiting them in their homes, checking if they were happy with the service they received and if any changes were needed.
The registered manager was open and transparent. They understood their regulatory responsibilities. A quality assurance system was in place to continually assess, monitor and improve the service. The service worked well with other partners, organisations and commissioners.
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 26 March 2020 and this is the first inspection.
Why we inspected
This service had not been inspected since their registration in March 2020, therefore, this inspection was carried out to gain assurances about the quality of care and systems used to monitor and manage the service.
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.