Archived: JEPPs Care Limited

Updated 28 November 2019

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

The inspection was completed 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, flats specialist housing.

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 4 days notice of the inspection visit. 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.

On 21 October, we informed the registered manager that we planned to inspect the service. On 22 October, we phoned people using the service to find out their experiences of the service given. We also phoned staff for their feedback. We then visited the office location on 24 October 2019, to look at documents related to the running of the service.

What we did before the inspection

Before an inspection takes place, we gather information known about the service. We had received notifications from the service. Notifications are information about specific events that happen at the service, and the responsible person is required to send these by law. We also consider if any information has been sent in from members of the public. For this inspection, we had not received any information from the general public.

Due to technical problems, the provider was not asked to complete a Provider Information Return. 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

On 22 October 2019, the inspector phoned people who used the service. The inspector spoke to two people, and two relatives. These people gave their views about the service they received. The inspector also phoned four care staff to find out their experiences of working for JEPPS care ltd.

During the office visit on 24 October 2019, the inspection team considered the care records of three people who used the service. We also looked at three staff recruitment files and other records relating to the management of the service. This included audits, policies and incident records. We spoke to the registered manager about the service.

Updated 28 November 2019

About the service

JEPPs Care ltd is a domiciliary care agency. The care agency provides personal care and support to people living within the community. At the time of the inspection, there were 11 people receiving support with personal care.

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

Routine medicines were managed safely. However, we had some concerns about ‘as needed’ medicines. There was insufficient guidance for staff, to understand when this medicine would be needed. If these ‘as needed’ medicines were given, then staff had not recorded the reason for this.

People felt safe using the service. Staff were confident in identifying any concerns about abuse, and felt assured that concerns would be acted upon by the management team. Any incidents had been responded to promptly to keep people safe.

Care staff had received training and had good knowledge on how to support people’s daily needs. Daily care task guidance was in place for staff. However, guidance was not always in place for people’s changeable health conditions, this puts people at risk of staff not responding appropriately.

There were enough staff to support people and support times were flexible according to what support people required each day. Staff were safely recruited. People told us that staff were clean and followed safe infection control procedures (for example, wearing gloves.)

People were supported to eat food of their choosing, and records were kept of people’s food and drink intake if required. Staff worked effectively with other professionals.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. No capacity assessments had been completed at the service, however the policies and systems in the service supported this practice if required in future.

Staff were caring and provided personalised support which met people’s needs and preferences. People were treated with dignity and their privacy was respected. People received good quality support at the end of their lives.

The service had a clear governance system, which caused high quality and effective care. There was a registered manager in position, who met legal requirements by overseeing a high quality service.

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 22 April 2017).

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.