JLKare and Support Limited

Updated 25 March 2020

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.

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

This inspection was carried out by one inspector.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own home and in a supported living setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. 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

This inspection was announced. We gave the service 48 hours’ notice of the inspection. 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. We visited the office location on 23 December 2019.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. Prior to the inspection we reviewed information we held about the service since the last inspection. This included information about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We sought feedback from the local authority and used all this information to plan our inspection.

During the inspection

During the inspection we spoke with three people, three relatives, four care staff, two directors, the care manager, the registered manager who was also a director and the nominated individual and two professionals. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records, this included the records for four people being supported and records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and other documentations the provider sent us.

Updated 25 March 2020

About the service

JLKare and support Limited is registered to provide personal care to people in their own homes within a supported living setting. On the day of the inspection 16 people were being supported. Of these 10 people received personal care in their own homes and six people with learning disabilities received personal care in a supported living environment.

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

People’s safety was integral to the support they received and care staff were trained to keep them safe. Recruitment processes were in place and training was provided before care staff could administer medicines. Systems were in place to ensure there were sufficient care staff and risks to people were identified and managed. The provider ensured they had clear infection control procedures.

People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Care staff were supported to meet people’s needs and had the skills and knowledge to do so. People were supported with their dietary needs and relatives told us they could rest easy knowing care staff were monitoring people’s health as part of the support people received.

People and relatives told us the care staff were compassionate, caring and kind. People’s privacy, dignity and independence was integral to how people were supported.

The services offered were responsive to people’s needs. Professionals told us they could always rely on the service to respond to people’s needs. People were communicated with in ways they would understand. Assessments and support plans were clear and concise. Reviews took place regularly so any changes to people’s needs could be responded to quickly.

Everyone we spoke with told us the service was better than well led. One person said, “There are not any words to explain how my life as changed because of this service”. We found spot checks and audits were carried out to ensure quality of the support people received. The provider used a range of methods to ensure engaged with people was successful.

Services for people with learning disabilities and or autism are supported

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service consistently applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Rating at last inspection

The last rating for this service was Good (Report published 25 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk