Compassionate Care Tamworth

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

Administrative Office Jaika Healthcare, is a is a domiciliary care agency providing personal care to people in their own homes. The service was supporting 12 people with personal care at the time of our inspection.

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

The provider's recruitment practices were not safe or robust, which meant people were at risk of being supported by unsuitable staff. Records such as risk assessments had not always been completed in relation to known risks to people or plans developed for managing these risks.

There was a lack of provider oversight which meant risks to people’s safety had not been identified and responded to appropriately. Systems to monitor the quality and safety of the service were ineffective and placed people at the risk of harm.

People and relatives, we spoke with said they felt safe. However, staff training was inconsistent and people were not always supported by staff who had the skills and knowledge to meet their needs. For example, where people required the use of equipment to aid their mobility, staff had not completed moving and handling training with the provider and there was no record the provider had completed competency checks. Following the inspection, the provider submitted evidence two staff had completed manual handling training prior to their employment with the provider.

The provider had not followed their own policy in the administration of medication. When people required medicines to be administered ‘as and when required’ there was no guidance in place for staff to follow so they would know when to give the medicine. There were no patch charts for medication patches and no record for the count and disposal of controlled drugs. Staff had not completed medication training.

There were no audits in place. Audits need to be implemented to provide clear and robust information and evidence of outcomes for people. The lack of systems meant the provider had failed to identify the areas for improvement found at this inspection including the care planning, risk assessments, staff training and safe recruitment processes.

Relatives gave us mixed views on the provider's communication regarding people's care. Staff working for the provider told us they felt supported.

The provider was open and receptive to the areas of concern identified in the inspection and after the inspection the provider gave us a service improvement plan detailing what improvements they plan to make.

We noted that prior to the inspection the provider had identified the need to recruit and train more staff therefore, they had taken the decision to transfer six packages of care to another agency.

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 25 November 2021 and this is the first inspection. The provider commenced providing personal care on 05 June 2022

Why we inspected

The inspection was prompted in part due to concerns received about the safe care and treatment, staffing levels and staff recruitment practices. A decision was made for us to inspect and examine those risks.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report to see what actions we have asked the provider to take.

Enforcement

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 take further action if needed. We have identified four breaches of regulation in relation to the safe care and treatment, fit and proper persons employed, staffing and governance processes in monitoring the quality of the service being delivered to people.

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

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of Inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.