JAAN Services

JAAN Services provides care and support to older people and people with a learning disability living in their own homes. At the time of our inspection the service was supporting 24 people.

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.

People’s experience of the service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support

Risks to people were assessed and managed. Support plans were comprehensive and personalised to enable staff to provide person centred care. Risks assessments and support plan were kept under review to ensure guidance remained relevant to promote people’s safety.

People received care and support from staff who knew them well and understood their individual needs and preferences. Staff supported people to have the maximum possible choice and control over their own lives. Policies and systems in the service supported this practice.

Right Care

Staff provided personalised care and support to promote people’s wellbeing, enhance their quality of life and to achieve positive outcomes. People’s support plans were comprehensive and reflected their current needs. Staff were well aware of the people’s care needs including support with medicines and their choices and wishes were respected.

The service had enough appropriately trained and skilled staff to meet people’s needs and to keep them safe. Staff were trained and understood how to protect people from poor care and abuse. The management team and staff worked with other agencies and professionals to promote people’s safety and wellbeing.

Right Culture

People remained at the heart of their care. People were involved in reviews of their care to ensure their current needs were met. People’s equality and diverse needs were considered and respected.

Staff recruitment process ensured only suitable staff worked at the service. Staff received essential training for their role including infection prevention and control. Staff understood best practice in relation to sensitivities to people with a learning disability and autistic people. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. Staff felt well supported by the management team.

The registered manager understood their responsibilities and worked in a transparent way. People’s quality of life was enhanced by the service’s culture of continuous improvement. Systems and processes for monitoring and improving quality and safety were effective. The service worked well with external agencies and professionals to support people with their ongoing care needs and goals.

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 good (published 19 March 2019). The rating remains good.

Why we inspected

This inspection was prompted by a review of the information we held about this service and prompted in part due to concerns received in relation to staffing and managing risks associated to people’s needs.

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 remained good. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe and Well-Led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for JAAN Services our website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Not everyone using JAAN Services received the regulated activity; the Care Quality Commission (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, ten people were receiving personal care.

This inspection took place on 4 February 2019 and finished on 8 February 2019. This was the first comprehensive inspection for the service since it registered with the CQC in October 2017.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff received safeguarding training, they knew how to recognise the signs and symptoms of abuse and how to report any concerns of abuse. Risk management plans were in place to protect and promote people’s safety. The staffing arrangements were suitable to keep people safe. Recruitment practices ensured staff were suitable to work with people. Infection control procedures were followed to reduce the risks of spreading infection or illness.

The provider understood their responsibility to comply with the Accessible Information Standard (AIS), which came into force in August 2016. The AIS is a framework that makes it a legal requirement for all providers to ensure people with a disability or sensory loss can access and understand information they are given.

Staff received induction training when they first started to work at the service. On-going refresher training ensured staff could provide care and support for people following current best practice guidance. Staff supervision systems ensured that regular one to one supervision and appraisal took place to monitor performance.

Staff supported people to eat and drink sufficient amounts to maintain a varied and balanced diet. Records about people’s health requirements were documented. Staff were able to support people to access health appointments if required.

People were encouraged to be involved in decisions about their care and support. Staff demonstrated their understanding of the Mental Capacity Act, 2005 (MCA) and they gained people's consent before providing personal care. People had their privacy, dignity and confidentiality maintained at all times. The provider had a complaints procedure in place to manage and respond to complaints.

People had their diverse needs assessed, they had positive relationships with staff and received care in line with best practice, meeting people’s personal preferences. Staff consistently provided people with respectful and compassionate care.

The service had a positive ethos and an open culture. The registered manager and the provider were visible role models in the service. People told us that they had confidence in the provider’s ability to provide a consistent service.