Jemis Care

Updated 21 June 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 Health and Social Care Act 2008.

Inspection team

The inspection was conducted by one 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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 19 April 2023 and ended on 1 June 2023. We visited the location’s office on 24 April 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We met with the registered manager. We looked at records the provider used for managing the service, including the care records for one person who was using the service on the day of the inspection. We also looked at two staff files and other records used by the provider for monitoring the quality of the service. We spoke with one relative of the person using the service and with one care worker.

Updated 21 June 2023

About the service

Jemis Care is a care agency providing personal care and support to people living in their own homes. 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. At the time of the inspection, one person was receiving a regulated activity.

People’s experience of using this service and what we found

During the inspection we found the management of risks was not always effective as risks were not always identified and risk management plans were not always developed to provide staff with guidance about how to mitigate identified risks to people.

Quality monitoring process were in place, but these were not always effective as they had not enabled the provider to identify and address the issues we found during the inspection.

The relative we spoke with told us they felt the service was safe, caring and met the person’s needs. The provider followed safe recruitment practices to help ensure suitable people were employed. Staff received appropriate training to meet people’s care needs. Appropriate infection prevention and control practices were followed.

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.

The care plan provided information about the person’s care needs and how they would like their care to be provided. They were supported by the same staff who understood their needs and preferences.

The registered manager was approachable and involved in the day-to-day care and running of the service, including providing hands-on care.

The provider had procedures for managing incidents, accidents, safeguarding alerts and complaints.

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 requires improvement (published 24 May 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

Why we inspected

We carried out an announced comprehensive inspection of this service on 31 March 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 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, Effective, Responsive and Well-led which contain those requirements.

For the key question not inspected, we used the rating awarded at the last inspection to calculate the overall rating. The overall rating for the service has remined 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 Jemis Care on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safe care and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.