JAM Care, a small domiciliary care agency in Wolverhampton, was rated Good across all five key questions at its first inspection following concerns about staffing, which were not substantiated. Minor issues with medicines records and recruitment file documentation were addressed immediately by the registered manager.
Concerns (4)
minor
Record keeping
: “We found some records had not been completed. This was addressed straight away, and we confirmed people had their medicines as prescribed.”
minorMedication management: “an additional check on medicines administration records was introduced as part of handover for staff to ensure any records with missed entries were identified straight away.”
minorGovernance: “Some of the recruitment files we looked at had not followed the company policy around employment history. The registered manager took immediate action to audit recruitment files”
minorConsent / capacity: “The provider had recognised improvements could be made to how MCA assessments and best interest decisions were documented as some covered more than one decision.”
Strengths
· People felt safe and were supported by staff trained in safeguarding
· Consistent staff teams provided seamless person-centred care
· Strong induction and bespoke training delivered by nurses, OTs and physiotherapists
· Staff promoted independence, dignity and respect, and supported choice
· Effective partnership working with families, community teams and MDTs
Quality-Statement breakdown (26)
safe: Systems and processes to safeguard people from the risk from abuseNot rated
safe: Assessing risk, safety monitoring and managementNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
safe: Learning lessons when things go wrongNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Staff support, training, skills and experienceNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
effective: Staff working with other agencies to provide consistent, effective, timely careNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
caring: Respecting and promoting people's privacy, dignity and independenceNot rated
responsive: Planning personalised careNot rated
responsive: Meeting people's communication needsNot rated
responsive: Supporting people to develop and maintain relationships and to avoid social isolationNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: How the provider understands and acts on the duty of candourNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsNot rated
well-led: Engaging and involving people using the service, the public and staffNot rated
well-led: Continuous learning and improving careNot rated
well-led: Working in partnership with othersNot rated