CJAJ Angels Supporting Living Limited received a Good rating across all five key questions at its first rated inspection in January 2019, with people and relatives consistently praising the caring, personalised approach of staff and the registered manager. Minor recording inconsistencies were identified in risk assessments and care plans, and a gap in first aid training was noted, but none constituted regulatory breaches.
Concerns (3)
minor
Record keeping
: “Risk assessments associated with people's needs had not consistently been completed. For example, a risk assessment had not been completed for a person with diabetes or risks with their skin.”
minorCare planning: “Whilst we found some inconsistencies in the level of detail recorded, staff showed they had a good understanding of people's needs.”
minorStaff training: “We noted staff had not completed basic first aid awareness and the registered manager agreed to provide this for staff.”
Strengths
· People received safe care from regular staff who understood their needs; no missed or late visits reported
· Robust staff recruitment checks completed before staff commenced
· Staff shadowed the registered manager prior to providing independent care, ensuring familiarity with service users
· People and relatives consistently described the service as excellent and praised staff going above and beyond
· Registered manager led by example, providing direct care and maintaining daily contact with staff and service users
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Planning and promoting person-centred, high-quality care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staffGood
well-led: Continuous learning and improving careGood