Background to this inspection
Updated
11 September 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 15 July, 29 July and 10 August 2015 and was unannounced.
The inspection team consisted of an adult social care inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of service. During the inspection the inspector visited the provider’s head office to look at records and speak with staff. After the inspection the inspector carried out some telephone interviews with staff and visited some people in their own homes to obtain their views on the care and support they received. An expert by experience carried out telephone interviews with some people who used the service and some relatives.
We reviewed information we held about the provider, in particular notifications about incidents, accidents, safeguarding matters and any deaths. We contacted the local authority and health commissioning teams and the local authority safeguarding adults’ teams. Comments we received were used to support our planning of the inspection.
We spoke on the telephone with six people who used the service and eight relatives. We also visited two people in their own homes to obtain their views on the care and support they received. We interviewed seven staff members and the registered manager for the service.
We reviewed a range of documents and records including seven care records for people who used the service, seven records of staff employed by the agency, complaints records, accidents and incident records. We also looked at records of staff meetings and a range of other quality audits and management records.
Updated
11 September 2015
This was an unannounced inspection which we carried out on 15 & 29 July 2015 and 10 August 2015. We last inspected JB Skillcare in July 2014. At that inspection we found the service was not meeting legal requirements with regard to monitoring the quality of service and record keeping. At this inspection we found that action had been taken to meet the relevant requirements.
JB Skillcare is a domiciliary care agency providing care and support to people in their own home. The agency provides 24 hour personal care and support to some people with complex support needs. It is registered to deliver personal care.
People told us they felt safe when receiving care. They told us that they trusted the care workers who supported them. Staff told us they had received training in relation to safeguarding adults and would report any concerns. Improvements had been made to the recruitment process for staff to check they were appropriate to support people with their personal care needs.
People were protected as staff had received training about safeguarding and knew how to respond to any allegation of abuse. There were sufficient staff employed in small teams to provide consistent and safe care to people.
There were systems in place to manage risks and they were assessed and managed to promote people’s safety and well-being.
People received their medicines in a safe way.
Staff had received training and had a good understanding of the Mental Capacity Act 2005 and Best Interest Decision Making, when people were unable to make decisions for themselves. They also received other training to meet people’s care needs.
Staff helped ensure people who used the service had food and drink to meet their needs.
Staff knew people’s care and support needs. Detailed care plans were in place that documented how people wished to be supported. People were involved in making decisions about their care.
People told us staff were very kind, caring, efficient and went the “extra mile.”
People had access to health care professionals to make sure they received appropriate care and treatment. Staff followed advice given by professionals to make sure people received the treatment they needed.
A complaints procedure was available and people we spoke with said they knew how to complain. Where complaints had been received they had been satisfactorily resolved.
People had the opportunity to give their views about the service. There was regular consultation with staff, people and/or family members and their views were used to improve the service.
Regular audits were completed to monitor service provision and to ensure the safety of people who used the service.
Staff said the management team were approachable and communication was effective to ensure staff were kept up to date about any changes in people’s care and support needs and the running of the organisation.