Background to this inspection
Updated
26 August 2021
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
The inspection was carried out by three inspectors. Two inspectors visited the service and reviewed documents sent to us electronically. A third inspector made phone calls to people who used the service, their relatives and staff.
Service and service type
This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.
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.
Inspection activity started on 19 January 2021 and ended on 28 January 2021. We visited the office location on 21 January 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and local authority safeguarding adults team.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We reviewed care records for both people who used the service. We looked at a range of other information including audits, complaints records, recruitment files for five staff and records relating to accidents, incidents and safeguarding. We spoke with the registered manager, three members of staff, one person who used the service and one relative.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
26 August 2021
Justintime Healthcare is a domiciliary care agency. It provides personal care and support to people living in their own homes. At the time of our inspection two people were using the service.
People’s experience of using this service and what we found
People received safe care and support because systems for assessing and managing risk were robust and staff knew how to safeguard people. One person told us they felt safe “all the time.”
Care plans included up to date and comprehensive individual risk assessments which gave staff the information they needed to maintain people’s safety. New and emerging risks including the effects of COVID-19 had been assessed.
Systems for the recruitment of new staff had been improved and were safe.
Improvements had been made to the systems for managing medicines and regular auditing meant these systems remained safe.
Clear processes were in place to prevent and control infection. The provider had been proactive in following government and local guidance in relation to managing the COVID-19 pandemic.
Staffing was well organised and appropriate to the needs of people using the service. Staff received the training and support they needed to care for and support people safely and effectively.
People’s nutritional needs and preferences were assessed, and plans put in place to make sure they were met.
People were supported to have maximum choice and control of their lives and the provider had made improvements in systems for assessing people’s capacity to make decisions. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Systems were in place to make sure peoples’ needs were assessed before they began to use the service. People were involved in regular reviews to make sure their care plans reflected people’s current and changing needs.
People were supported to access healthcare professionals. Advice from healthcare professionals was included in care plans.
People were supported to make decisions about their care and care plans reflected a person- centred approach.
People were treated with kindness and consideration and care was delivered in way which met people’s dignity and independence needs.
People were supported to follow their preferences in relation to their interests and lifestyles.
Complaints about the service were managed effectively. Systems were in place for learning lessons when something went wrong.
Robust quality assurance systems had been introduced and implemented to enable the provider to learn and implement positive change.
People, and their relatives, were unanimous in their feedback in relation to the improvements made at the service. One relative said, “They have really stepped up in terms of due diligence, I would give them ten out of ten.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 22 October 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since December 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
The overall rating for the service has changed from inadequate to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Justintime Healthcare on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.