Sheila-Jeans Home Care Limited received a Good rating across all five key questions at its first CQC inspection in June 2023, with people and relatives consistently praising the kindness, consistency and flexibility of staff. Two recommendations were made regarding the formal recording of staff competencies and training, and the use of formal capacity assessment documentation.
Concerns (5)
minor
Staff competency
: “Staff had completed on-line medicines training and were observed administering medicines by the registered manager during their initial shadow shifts. However, these were not formally recorded.”
minorStaff training: “The training spreadsheet was not up to date, meaning it was more difficult to identify when staff needed to complete refresher training.”
minorConsent / capacity: “We discussed with the registered manager having a formal capacity assessment document to record people's capacity to make decisions and to use in the event a person's capacity changed.”
minorRecord keeping: “Staff files were not well maintained, with information stored in different locations.”
minorEnd-of-life care: “We discussed with the registered manager the need to formally record people's end of life wishes following these discussions.”
Strengths
· People and relatives were very positive about the care provided, describing staff as kind, respectful, flexible and consistent.
· Staff were safely recruited with DBS checks and fully completed application forms in place.
· Sufficient staffing levels with regular, consistent staff supporting each person, enabling strong familiarity with individual needs.
· Risks were identified and guidance provided to minimise them, with environmental assessments completed for each property.
· People were supported to participate in cultural, social and educational activities aligned with their preferences.
Quality-Statement breakdown (21)
safe: Using medicines safelyGood
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
effective: Staff support: induction, training, skills and experienceGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
caring: Ensuring people are well treated and supported; respecting equality and diversity; privacy, dignity and independenceGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships; support to follow interests and culturally relevant activitiesGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Continuous learning and improving care; Managers and staff being clear about their roles and understanding quality performanceGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Working in partnership with othersGood
well-led: How the provider understands and acts on the duty of candourGood