Background to this inspection
Updated
11 August 2021
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
This inspection was carried out by two inspectors and two Experts by Experience who made telephone calls to people and relatives of people using the service. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 the registered manager and other office staff. We reviewed a range of records including six people’s care records and five people’s medicines records. We looked at five staff files in relation to recruitment and staff supervision.
After the inspection
We spoke to 12 people who used the service and ten relatives about their experience of the care provided. We spoke with five members of staff including the registered manager and reviewed a variety of records relating to the management of the service, including training data, quality assurance records and policies and procedures. We continued to seek clarification from the provider to validate evidence found.
Updated
11 August 2021
About the service
Jacaranda Healthcare Limited is a domiciliary care service that provides personal care to adults with a range of support needs including people living with dementia. At the time of the inspection the service was providing personal care to 52 people living in their own homes in the local community.
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 using this service and what we found
People told us they felt safe with the care staff that supported them. Staff were aware of signs of abuse and how to report them, they felt confident that management would respond to any concerns.
People told us that they received support from regular care staff who mostly arrived on time and stayed for the allotted time. People told us staff always wore Personal Protective Equipment (PPE) and safe infection prevention and control practices were followed.
The provider had systems in place to assess risks to people before undertaking their care and support. However, we found that risks were not always fully and comprehensively assessed within care records. People received their medicines safely, however, the provider was not consistently following national guidance in the management of medicines.
People were supported by care staff who were skilled and trained to meet their support needs. Care staff told us they were well supported through supervision and annual appraisals.
People were supported to eat and drink enough where this was an assessed need. Care plans were person centred and detailed peoples background history and preferences. The service supported people to access relevant health care services where required.
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 provider had systems in place to monitor the quality and safety of the service. People and relatives spoke positively of the service and felt the service was well managed. The registered manager sought the views of people who used the service and people and relatives told us that the management team would respond to any requests or concerns.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 2 March 2019).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.