Background to this inspection
Updated
19 May 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 26 April and 2 May 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service and we needed to be sure that someone would be available in the office. The inspection was carried out by one inspector.
Before our inspection we looked at information we held about the service including notifications. A notification is information about important events which the provider is required to tell us about by law. We also received feedback about the service from representatives of the local authority’s safeguarding team and contracts monitoring team; this helped with our inspection planning.
The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give us some key information about the service, what the service does well and improvements they plan to make. We reviewed the information to assist us with our planning of the inspection.
During the inspection we spoke with three people who used the service and three relatives of people who used the service. We spoke with the registered manager, general manager, one branch manager and three care staff.
We looked at four people’s care records, quality assurance surveys, staff meeting minutes and medication administration records and audits. We checked records in relation to the management of the service such as staff training records.
Updated
19 May 2017
J&M Care Ltd is registered to provide personal care to people living in their own homes. At the time of our inspection a service was being provided to older people, people living with dementia, younger adults, people living with mental health conditions and people living with physical disabilities or sensory impairment. The service has its office in Eye and covers the Peterborough, Cambridge and Fenland areas. There were 111 people receiving personal care from the service and there were 73 care staff employed, at the time of this inspection.
This comprehensive inspection took place on 26 April and 2 May 2017 and was announced.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
People had their needs assessed and reviewed so that staff knew how to support them to improve their independence. People’s care plans contained clear information about the person. The information was up to date and correct. People had risk assessments completed and staff had the necessary information they needed to reduce risks to people.. People were respected by staff and staff treated them with kindness.
There was a system in place to record complaints. This included the outcomes of complaints and how the information was used to reduce the risk of recurrence.
Staff understood the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions. Training had been provided by the service and staff were aware of current information and regulations regarding people’s consent to care. This meant that there was a reduced risk that any decisions, made on people's behalf by staff, would not be in their best interest and as least restrictive as possible.
The risk of harm for people was reduced because staff knew how to recognise and report abuse. Staff had completed all training required by the provider. There was a system to ensure that staff received further training to update their skills.
The provider’s recruitment process was followed and this meant that people using the service received care from suitable staff. There was a sufficient number of staff to meet the needs of people receiving a service.
Staff meetings, supervision and individual staff appraisals were completed regularly. Staff were supported by the general manager, two managers, five supervisors, three co-ordinators, two senior care workers, one training manager and the registered manager during the day. An out of hours on call system was in place to support staff, when required.
There were systems in place to monitor and audit the quality of the service provided. This meant that the provider was able to drive forward any necessary improvements needed.