Archived: JPRV Limited t/a HCPA

JPRV Ltd trading as HCPA provides a domiciliary care service to people in their own homes. Its services focus mainly on the care and support of people who have a physical disability and adults over the age of 65. At the time of our visit, the agency was providing personal care for one person.

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.

At the last inspection in September 2013, we found that the service met the regulations we inspected against. At this comprehensive inspection the service was also meeting the regulations.

There was positive feedback about the service provided. Staff were caring and the support provided met needs and expectations.

We found that privacy and dignity were respected and promoted, and caring approaches were embedded with the service’s procedures.

The service was customer-focussed. Personalised care was provided that addressed needs and preferences.

Attention was paid to health and nutritional needs, and service delivery risks were adequately managed.

The service had enough suitable staff. Staff were supported to develop appropriate skills and so provided care and support in a caring way that was focussed on the individual.

Safeguarding procedures were embedded and used appropriately, action was taken to resolve complaints, and staff recruitment processes included all necessary checks to ensure that safe staff were supplied.

The service was working within the principles of the Mental Capacity Act 2005. The registered manager knew people as individuals, and demonstrated competency at running a business.

At the time of our inspection, the agency was in the process of changing their registered name.

We spoke with two members of staff who were both aware of the importance of treating people with respect and ensuring that people were always given a choice.

One member of staff told us that it was important to give people a choice and encourage them to be as independent as possible whilst supporting them.

The care of people had been assessed and care plans prepared. These were signed by people receiving the care or their representatives. People we spoke with were positive about care workers and indicated that they were reliable and competent.

We observed that the provider had an effective system to assess and monitor the quality of service that people receive.

We noted that records were up to date and that they were stored safely and could be located when required.

Relatives spoke positively about the staff supplied by the agency. Comments included, 'the staff are delightful and very helpful' and 'they have a good attitude.' They commented positively on the timekeeping of staff, and told us the agency tried to supply the same staff because 'they understand that change is disruptive.' We found there were effective staff recruitment and selection processes in place at the agency, and staff received appropriate training and support.

We found, however, that the planning and delivery of care, to meet people's individual needs and ensure their welfare and safety, was not always up-to-date or accurately reflected people's current needs. This failed to ensure people's welfare and safety.