First inspection of JMC Care Solutions Limited rated Requires Improvement overall, driven by inconsistent call timings, out-of-date care plans/risk assessments and inaccurate MAR records, resulting in a breach of Regulation 17 (Good Governance). Staff were found to be caring, well trained and recruited safely, with effective partnership working and a positive culture under the registered manager.
Concerns (7)
critical
Missed or late visits
: “The times are erratic, we never know who or when they [staff] are coming.”
criticalMissed or late visits: “Call log records we looked at showed inconsistencies between planned care times and actual times that staff arrived at people's homes.”
criticalMedication management: “Up to date information was not always held about people's medicines... the person had started to use prescribed cream recently, but staff had not alerted management of this, and therefore MAR were not being used.”
criticalGovernance: “systems were either not in place or robust enough to demonstrate oversight was effectively managed. This placed people at risk of harm. This was a breach of regulation 17 (Good Governance)”
moderateCare planning: “Care plans and risk assessments were not always readily available, accessible, or up to date.”
moderateRecord keeping: “There was no system in place to easily find and navigate people's information, care planning, and risk assessments.”
moderatePerson-centred care: “I can't get on with what I need to do, because I don't know when they will show up.”
Strengths
· Safe recruitment practices including ID checks, references and DBS checks
· Staff received good quality induction and mandatory training (safeguarding, first aid, infection control, moving and handling)
· Staff were kind, caring and respectful; people reported positive relationships with staff
· Effective use of PPE and regular COVID-19 testing for staff
· Care plans documented people's preferences, likes and dislikes
Quality-Statement breakdown (22)
safe: Staffing and recruitment; Using medicines safelyRequires improvement
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
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; Supporting people to access healthcareGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting 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 ensure people have choice and control and to meet their needs and preferencesRequires improvement
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Duty of candourGood
well-led: Engaging and involving people using the service, the public and staffGood