Archived: J&M Care Ltd - Cambridgeshire Homecare Also known as CambridgeshireHomeCare

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.

This announced inspection took place on 8 and 9 February 2016.

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 scheme is run.

People had their needs assessed and reviewed so that staff knew how to support them to maintain their independence. Peoples care plans contained person focussed information, but in one case the information was not up to date or correct, which meant that the person could be at risk of poor practice from staff.

Staff were trained in the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions.

People were not always supported to be as safe as possible because risk assessments had not been completed for all risks. This meant staff did not always have the information they needed to reduce risks.

The risk of harm for people was reduced because staff knew how to recognise and report abuse.

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.

People’s privacy and dignity was respected by staff and staff treated them with kindness. People and their relatives were aware that there was a complaints procedure in place and felt confident to use it if they needed to.

Systems were in place to monitor and review the safety and quality of people’s care and support. People and their relatives said they had been contacted for their comments about the service.

Staff meetings and individual staff supervision sessions were held regularly. Staff were supported by management in the office and the registered manager during the day and an out of hours system was in place for support in the evening.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

People's privacy, dignity and independence were respected. Staff were courteous and polite.

People who used the service said that staff consulted with them about how they wanted to be assisted. They also said that they received all of the care they needed.

The provider had measures in place to help safeguard people from abuse.

Records showed that security checks had been completed on staff. This had been done to make sure that only suitable and trustworthy people were employed.

We saw that quality checks were completed to help ensure that people consistently received a good standard of service.

People received the care and support they required to improve their health and well-being. Care records were mostly written in enough detail to provide clear guidance to staff members.

Medication administration records were kept and people received their medicines in a safe way.

There were enough appropriately trained and qualified staff, although schedules of work did not take into account travel time and this caused delays in visiting people.

There were systems in place to check and monitor the way the service was run. However, no analysis of incidents or audits had been completed, which meant the service could not show it's evaluation of the service it provided.