Background to this inspection
Updated
11 July 2023
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 carried out by 1 inspector.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats. At the time of the inspection there were 7 people using the service.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post. The registered manager is also the provider.
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 would be in the office to support the inspection.
Inspection activity started on 01 June and ended on 29 June 2023. We visited the office location on 01 June 2023.
What we did before the inspection
We reviewed information we had received about the service since it registered with CQC. We sought feedback from the local authority.
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. We used all of this information to plan our inspection.
During the inspection
We spoke with 1 person who used the service and 3 relatives about their experience of the care provided. We spoke with 4 members of staff including the provider (who is also the registered manager), and 3 care staff. We also made contact with 1 healthcare professional.
We reviewed a range of records. This included 4 people’s care records and medication records for 2 people. We looked at the 1 staff members file in relation to recruitment and a variety of records relating to the management of the service.
Updated
11 July 2023
About the service
Administrative Office Jaika Healthcare, is a is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 7 people with personal care at the time of our inspection. At this inspection the service provided care for older people and people living with dementia.
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
Since the last inspection the provider had made improvements and there were now systems in place to give oversight of the service provided and to ensure that risks to people’s safety had been identified and responded to.
The provider also had made improvements to their recruitment practices to ensure required checks were in place prior to staff supporting people.
People and relatives, we spoke with said they felt safe and records showed people were supported by staff who had the skills and knowledge to meet their needs.
The provider had systems in place to manage medicines and where people required medicines to be administered ‘as and when required’ there was guidance in place for staff to follow.
Provider systems were in place to check call durations and timings and the provider was in contact with people receiving care to review the care and check their experience of the care provided.
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.
People and relatives gave us positive views on the care and the provider's communication with them. Staff working for the provider told us they felt well supported in their roles.
Improvements had been made and the provider had audits systems to ensure an oversight of the service provided. However, we found further improvement was required to ensure systems were in place to ensure all information from other agencies was recorded consistently. Improvement was also required to ensure that a system was established to make sure all other required agencies were notified as required when concerns were identified by the provider and care staff.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.
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 the service was inadequate (published 15 December 2022). There were 4 breaches of the regulations in relation to safe care, fit and proper persons employed, staffing and good governance, the service was placed in special measures. We imposed positive conditions, and the provider was required to send us a monthly report to show what they would do, and by when, to improve.
This service has been in Special Measures since December 2022.. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
We carried out an announced comprehensive inspection of this service on 15 September 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 treatment, f t and proper persons employed, staffing 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 and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from inadequate to 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 Administrative Office Jaika Healthcare on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection program. If we receive any concerning information we may inspect sooner